Individual
MRS. CHRYSTAL TERESE EICHENLAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
630 HARTLAND DR, TROY, MI 48083-5183
(248) 835-2291
Mailing address
630 HARTLAND DR, TROY, MI 48083-5183
(248) 835-2291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704252513
MI
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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