# ERIE PHYSICIAN NETWORK-UPMC,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stephen P.Kroth,DO LAc-UPMC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821346933
- **Authorized official:** MR. MARK EHALT (SR.DIRECTOR)
- **Authorized official phone:** (412) 647-0943

## Contact information

- **Practice address:** 1781 W 26TH ST, LOWER LEVEL, ERIE, PA 16508-1256
- **Practice address phone:** (814) 480-8960
- **Practice address fax:** (814) 480-8970
- **Mailing address:** 1781 W 26TH ST, LOWER LEVEL, ERIE, PA 16508-1256
- **Mailing address phone:** (814) 480-8960
- **Mailing address fax:** (814) 480-8970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2012
- **Last updated:** 08/21/2012
