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Individual
EHRENTRAUD JOHANNA EICHELBAUM
Active
Individual
EHRENTRAUD JOHANNA EICHELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
U7674
TX
208D00000X
General Practice Physician
18573
PR
208D00000X
General Practice Physician
ME140028
FL
208D00000X
General Practice Physician
Primary
U7674
TX
246ZS0410X
Surgical Technologist
238000185
IL
Other
Enumeration date
01/30/2008
Last updated
07/24/2026
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