Provider Demographics
NPI:1164462081
Name:EICHLER, MICHAEL DONALD (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DONALD
Last Name:EICHLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11725 STINSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHISAGO CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55013-9542
Mailing Address - Country:US
Mailing Address - Phone:651-257-8421
Mailing Address - Fax:651-982-7677
Practice Address - Street 1:5200 FAIRVIEW BLVD
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MN
Practice Address - Zip Code:55092-8013
Practice Address - Country:US
Practice Address - Phone:651-982-7723
Practice Address - Fax:651-982-7677
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-12-02
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Provider Licenses
StateLicense IDTaxonomies
MN37730207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F99284Medicare UPIN