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Individual

MICHAEL EIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, M.D.

Contact information

Practice address
N91W17271 APPLETON AVE, SUITE 1, MENOMONEE FALLS, WI 53051-2045
(262) 502-3300
Mailing address
333 E WASHINGTON STREET, SUITE 2100, WEST BEND, WI 53095-2003
(262) 335-4583
(262) 335-6827

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43372
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34115600
WI
Enumeration date
01/12/2006
Last updated
08/19/2015
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