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Individual

JEFFREY THOMAS EHRETH

Active
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Individual

JEFFREY THOMAS EHRETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
18730
SC
2088P0231X
Pediatric Urology Physician
Primary
18730
SC

Other

Enumeration date
06/30/2006
Last updated
04/16/2021
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