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Individual
MARK EHLERS
Active
Individual
MARK EHLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
77320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003342866
—
WI
Enumeration date
05/11/2017
Last updated
12/05/2022
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