Richard J. Ertl PH.D.

NPI 1194826545 - Psychologist - 103T00000X

NPI Details
NPI 1194826545
Gender Male
Enumeration Date 09/26/2006
Last Updated 07/09/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2266 N PROSPECT AVE
SUITE 510
MILWAUKEE WI, 53202-6319, US
Phone (414) 226-0137
Fax (414) 226-0137
Business Location
2266 N PROSPECT AVE
SUITE 510
MILWAUKEE WI, 53202-6319, US
Phone (414) 226-0137
Fax (414) 226-0137
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 1767-057
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According to our database, Richard J. Ertl PH.D. NPI is 1194826545, taxonomy code is 103T00000X and license number is 1767-057, license state is located at Wisconsin. Richard J. Ertl PH.D. physically located at 2266 N Prospect Ave, Milwaukee WI, 53202-6319. NPI Number Richard J. Ertl PH.D. has the Individual type.

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1194826545 NPI number is provided on an as is basis without warranty of any kind. 1194826545 is maintained by the National Plan & Provider Enumeration System. The contents of Richard J. Ertl PH.D. are for informational purposes only.