Provider Demographics
NPI:1962713651
Name:EHRLICH, VALARIE RAE (PA-C)
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:RAE
Last Name:EHRLICH
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:DIVISION OF NEOPLASTIC DISEASES AND RELATED DISORDERS
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-4600
Mailing Address - Fax:414-805-2934
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:DIVISION OF NEOPLASTIC DISEASES AND RELATED DISORDERS
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-4600
Practice Address - Fax:414-805-2934
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2020-10-05
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Provider Licenses
StateLicense IDTaxonomies
WI2604-023363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant