Individual
DR. MELVIN EHRHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VIRGINIA & FRANKLIN STREETS, NORMAL, IL 61761
(309) 827-4321
Mailing address
PO BOX 131, COLLISON, IL 61831-0131
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043487-2
—
IL
01
—
05721369
BC/BS
IL
Enumeration date
06/26/2006
Last updated
07/08/2007
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