Doctor Name: | DAVID M EHRHARDT |
NPI Number: | 1710255575 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 1215 E Michigan Ave Lansing, MI - 489121811 |
Business Phone Number: | 5174329277 |
Business Fax Number: | |
Mailing Address: | 804 Service Rd, A217 EAST LANSING |
State: | MI |
Postal Code: | 488247021 |
Phone Number: | 5173538122 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2011 |
NPI Last Update Date: | 08/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |