Provider Demographics
NPI:1134210875
Name:DAUER, EILEEN D (MD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:D
Last Name:DAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1528 NORTHWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:ST CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1255
Mailing Address - Country:US
Mailing Address - Phone:320-252-0233
Mailing Address - Fax:320-257-1126
Practice Address - Street 1:1528 NORTHWAY DRIVE
Practice Address - Street 2:
Practice Address - City:ST CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1255
Practice Address - Country:US
Practice Address - Phone:320-252-1166
Practice Address - Fax:320-257-1126
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2021-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN43629207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
040000935Medicare PIN
H40768Medicare UPIN
MNH40768Medicare UPIN