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1174256747
JEFFREY MICHAEL EICHENLAUB
SOUTHFIELD, MI
NPI
1174256747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704252514)
Enumeration Date
2022-07-01
Last Update Date
2024-07-02
Business Address
JEFFREY MICHAEL EICHENLAUB MSN. APRN, FNP-C
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075-6213
Phone number: 248-849-3441
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Mailing Address
JEFFREY MICHAEL EICHENLAUB MSN. APRN, FNP-C
630 HARTLAND DR
TROY, MI 48083-5183
Phone number: 248-835-9019
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