Individual
MARK EHLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 330, MILWAUKEE, WI 53215-3669
(414) 649-1280
(414) 649-1288
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 330, MILWAUKEE, WI 53215-3669
(414) 649-1280
(414) 649-1288
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
77320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003342866
—
WI
Enumeration date
05/11/2017
Last updated
12/05/2022
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