Individual
MAXINE EICHELBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 SOUTH LAYTON BLVD, MILWAUKEE, WI 53215
(414) 385-6600
Mailing address
1555 SOUTH LAYTON BLVD, MILWAUKEE, WI 53215
(414) 385-6600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21838031
WI
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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