Individual
DR. DOUGLAS ALAN EHRENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
52 MOHAWK AVE, CORTE MADERA, CA 94925-1033
(415) 385-7587
Mailing address
52 MOHAWK AVE, CORTE MADERA, CA 94925-1033
(415) 385-7587
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3463
CA
213ES0000X
Sports Medicine Podiatrist
E3463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E3463
STATE LIC.
CA
Enumeration date
05/21/2006
Last updated
11/03/2008
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