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Organization
DETLEF EHLING MD, INC.
Active
Organization
DETLEF EHLING MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DETLEF EHLING M.D. (PRESIDENT)
(925) 682-0390
Entity
Organization
Contact information
Practice address
2485 HIGH SCHOOL AVE, SUITE 208, CONCORD, CA 94520-1819
(925) 682-0390
(925) 682-0391
Mailing address
2485 HIGH SCHOOL AVE, SUITE 208, CONCORD, CA 94520-1819
(925) 682-0390
(925) 682-0391
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A66608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNC 3005001
—
CA
Enumeration date
03/31/2008
Last updated
03/31/2008
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