Individual
DR. MINDY EICHINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3200 PLEASANT VALLEY RD STE 1A, WEST BEND, WI 53095-9274
(262) 836-5411
Mailing address
3200 PLEASANT VALLEY RD STE 1A, WEST BEND, WI 53095-9274
(262) 836-5411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13862-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2525538952809
WISCONSIN DRIVERS LICENSE
WI
Enumeration date
08/10/2018
Last updated
08/10/2018
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