Individual
JEFFREY EDWIN EICHTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43785 US HIGHWAY 63, CABLE, WI 54821
(715) 934-4970
Mailing address
43785 US HIGHWAY 63, CABLE, WI 54821
(715) 934-4970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49708
MN
207Q00000X
Family Medicine Physician
Primary
53749-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16P71EI
BCBS
MN
01
—
1851503635
MEDICA
—
05
—
392450000
—
MN
01
—
P00436683
RRMEDICARE PTAN
—
Enumeration date
05/04/2007
Last updated
08/30/2024
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