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Individual

DR. BRUCE MARSHALL EHLERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1228 LIBERTY CHURCH RD, MOUNTAIN CITY, TN 37683-4305
(423) 727-7713
(423) 727-7713
Mailing address
1228 LIBERTY CHURCH RD, MOUNTAIN CITY, TN 37683-4305
(423) 727-7713
(423) 727-7713

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 207
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0018945
BCBS
TN
01
1525015
UMWA
TN
Enumeration date
07/12/2006
Last updated
09/24/2012
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