Individual
DR. MARK EDWARD EHRLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6510 GRAND TETON PLZ, STE. 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Mailing address
6510 GRAND TETON PLZ, STE. 406, MADISON, WI 53719-1029
(608) 833-9290
(608) 833-9691
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2617-057
WI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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