Individual
DR. DETLEF K. EHLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2485 HIGH SCHOOL AVE, SUITE 208, CONCORD, CA 94520-1819
(925) 682-0390
(925) 682-0391
Mailing address
2485 HIGH SCHOOL AVE, SUITE 208, CONCORD, CA 94520-1819
(925) 682-0390
(925) 682-0391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A66608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNC 3005001
—
CA
Enumeration date
08/09/2006
Last updated
07/09/2007
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