Individual
MISS PAM M EHRLICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N78W12555 FOND DU LAC AVE, MENOMONEE FALLS, WI 53051-4403
(262) 305-1378
Mailing address
N78W12555 FOND DU LAC AVE, MENOMONEE FALLS, WI 53051-4403
(262) 305-1378
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26029-031
WI
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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