Individual
DR. PETER JOSPEH EICHENSEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W129N7055 NORTHFIELD DR, BUILDING A, SUITE 303, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
(262) 253-3339
Mailing address
W129N7055 NORTHFIELD DR, BUILDING A, SUITE 303, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
(262) 253-3339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.052595
IL
207RG0100X
Gastroenterology Physician
Primary
61054
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821289141
—
WI
Enumeration date
08/05/2007
Last updated
08/09/2013
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