Individual
DR. WILFRED R EHRMANTRAUT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 SHERRY LN, SUITE 203, PRINCE FREDERICK, MD 20678-3275
(410) 414-9844
(410) 414-9795
Mailing address
110 HOSPITAL RD STE 210, PRINCE FREDERICK, MD 20678-4040
(410) 414-9844
(410) 414-9795
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D0059299
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300392
UNITED HEALTHCARE
MD
01
—
2956889
AETNA HMO
MD
01
—
3102788
ALLIANCE
MD
05
—
401242900
—
MD
01
—
41312102
RENDERING BC/BS ID# MD
MD
01
—
7534379
AETNA PPO
MD
01
—
G616-0001
FEDERAL/DC/BLUECHOICE
MD
01
—
KDC3
CAREFIRST MARYLAND
MD
Enumeration date
11/03/2006
Last updated
09/22/2021
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