Individual
MR. MICHAEL EITTREIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
445 GALTIER ST, SAINT PAUL, MN 55103-2358
(651) 251-3357
(651) 251-3430
Mailing address
445 GALTIER ST, SAINT PAUL, MN 55103-2358
(651) 251-3357
(651) 251-3430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8997
MN
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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