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Individual

MR. DAVID M EISCHEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4001
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100065968
WI
Enumeration date
02/21/2017
Last updated
10/10/2023
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