DR. Michael Dale Eickman, DDS

NPI #1639463706 in Thief River Falls, Minnesota

Provider Information

NPI Number
1639463706
Entity Type
Individual
Name
DR. Michael Dale Eickman, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 6, 2011
Last Updated
Jun 6, 2011

Practice Location

Address
310 RED LAKE BLVD
ZIP Code
56701-2133
Phone
(218) 681-2545

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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