Provider Demographics
NPI:1093135501
Name:PINKARD, EILEEN V (MD)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:V
Last Name:PINKARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2425 WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8467
Mailing Address - Country:US
Mailing Address - Phone:906-360-3124
Mailing Address - Fax:
Practice Address - Street 1:560 W MITCHELL ST
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2275
Practice Address - Country:US
Practice Address - Phone:231-487-3295
Practice Address - Fax:231-487-3249
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-23
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011161442084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology