Basic Information
| Provider Information | |||||||||
| NPI: | 1164462081 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EICHLER | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | DONALD | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11725 STINSON AVE | ||||||||
| Address2: | |||||||||
| City: | CHISAGO CITY | ||||||||
| State: | MN | ||||||||
| PostalCode: | 550139542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6512578421 | ||||||||
| FaxNumber: | 6519827677 | ||||||||
| Practice Location | |||||||||
| Address1: | 5200 FAIRVIEW BLVD | ||||||||
| Address2: | |||||||||
| City: | WYOMING | ||||||||
| State: | MN | ||||||||
| PostalCode: | 550928013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6519827723 | ||||||||
| FaxNumber: | 6519827677 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 12/02/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 37730 | MN | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.