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Individual

DANIEL MICHAEL EICHENBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1321 W US HIGHWAY 64, MURPHY, NC 28906-3361
(828) 837-5404
(828) 837-5621
Mailing address
1321 W US HIGHWAY 64, MURPHY, NC 28906-3361
(828) 837-5404
(828) 837-5621

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036372
GA
207W00000X
Ophthalmology Physician
Primary
28854
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00380751B
GA
01
30252
BLUE CROSS BLUE SHIELD
NC
05
8930252
NC
Enumeration date
08/10/2005
Last updated
04/11/2008
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