ERIC EIZENGA

MERRILLVILLE, IN
NPI1265184873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: IN  28259060A)
Enumeration Date2022-01-25
Last Update Date2023-07-19
Business Address
Mr. ERIC EIZENGA RN
1401 E 84TH PL
MERRILLVILLE, IN 46410-6451
Phone number: 219-769-4005
Mailing Address
Mr. ERIC EIZENGA RN
8400 LOUISIANA ST
MERRILLVILLE, IN 46410-6385
Phone number: 219-757-1939