Organization
PLASTIC SURGERY CENTER OF SOUTHERN MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFRED RUSSELL EHRMANTRAUT JR. M.D. (PRESIDENT OF ORGANIZATION/SURGEON)
(410) 414-9844
Entity
Organization
Contact information
Practice address
70 SHERRY LN STE 203, PRINCE FREDERICK, MD 20678-3275
(410) 414-9844
(410) 414-9795
Mailing address
70 SHERRY LN STE 203, PRINCE FREDERICK, MD 20678-3275
(410) 414-9844
(410) 414-9795
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2011
Last updated
01/11/2011
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