| Doctor Name: | MR. MARY ANNE EINEICHNER |
| NPI Number: | 1104134055 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 4704107032 |
| Business Practice Address: | 1000 Harrington Mount Clemens, MI - 480432920 |
| Business Phone Number: | 5864938000 |
| Business Fax Number: | |
| Mailing Address: | 12202 Anthony Dr, SHELBY TOWNSHIP |
| State: | MI |
| Postal Code: | 483151903 |
| Phone Number: | 5867314528 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2010 |
| NPI Last Update Date: | 09/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 4704107032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |