Individual
KENNETH EICHENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(844) 414-8291
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301108718
MI
207L00000X
Anesthesiology Physician
A124518
CA
Other
Enumeration date
05/21/2009
Last updated
07/21/2022
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