Individual
KENNETH EDWARD EICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(810) 600-2001
(810) 732-8559
Mailing address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(810) 600-2001
(810) 732-8559
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP1980
MI
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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