Individual
MICHELLE EICHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 N MAIN ST APT 21, FORT ATKINSON, WI 53538-1880
(262) 263-1485
Mailing address
218 N MAIN ST APT 21, FORT ATKINSON, WI 53538-1880
(262) 263-1485
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318655
WI
Other
Enumeration date
08/10/2020
Last updated
10/29/2025
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