Individual
DR. DAVID J EICHENHOFER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1035 W GLEN OAKS LN STE 204, MEQUON, WI 53092-3395
(262) 241-1515
(262) 241-4530
Mailing address
1035 W GLEN OAKS LN STE 204, MEQUON, WI 53092-3395
(262) 241-1515
(262) 241-4530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1457057
WI
Other
Enumeration date
08/14/2006
Last updated
07/10/2012
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