Organization
MICHAEL S. EICKERMAN M.D. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S. EICKERMAN M.D. (GENERAL SURGEON)
(360) 794-1415
Entity
Organization
Contact information
Practice address
14841 179TH AVE SE STE 140, MONROE, WA 98272-1127
(360) 794-1415
(360) 805-3456
Mailing address
19030 LENTON PL SE PMB 608, MONROE, WA 98272-1353
(360) 794-1415
(360) 805-3456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103571
—
WA
Enumeration date
09/20/2006
Last updated
08/22/2020
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