# ERIC EHRKE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770089401
- **Authorized official:** ERIC EHRKE LCSW (AUTHORIZED OFFICAL)
- **Authorized official phone:** (262) 691-1470

## Contact information

- **Practice address:** 1166 QUAIL CT STE 210, PEWAUKEE, WI 53072-3775
- **Practice address phone:** (262) 695-5311
- **Practice address fax:** (262) 695-9744
- **Mailing address:** N29W27355 PENINSULA DR, PEWAUKEE, WI 53072-4323
- **Mailing address phone:** (262) 691-1470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1782-123 | WI | Yes |

## Other

- **Enumeration date:** 04/02/2018
- **Last updated:** 04/02/2018
