Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Lee Eichelsdoerfer, MD

Individual provider Family Medicine Physician · NPI 1518583236

Dr. Jonathan Lee Eichelsdoerfer, MD is a Family Practice in Green Bay, Wisconsin. Qualified in 2019, 7 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
7
Licensed in
MI, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1160 Kepler Dr
Green Bay, WI 54311-8321
Phone: (920) 288-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 Stewart Rd, Monroe, MI 48162-4222 — (734) 240-8430

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81936 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4351046904 (MI)

Record details

NPI number1518583236
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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