MEDICARE: PAUL R EHRMANN, DO PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5101007918	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5630445	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1649310830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL R EHRMANN, DO PC

Provider Business Mailing Address
First Line	:	2033 CROOKS RD
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-4049
Country	:	US
Telephone Number	:	248-543-2000
Fax Number	:	248-543-2000

Provider Business Practice Location Address
First Line	:	2033 CROOKS RD
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-4049
Country	:	US
Telephone Number	:	248-543-2000
Fax Number	:	248-543-2000

Authorized Official
Title or Position	:	BUSINESS MGR.
Name	:	MRS. CYNTHIA ANN LANGLOIS
Credential	:
Telephone Number	:	248-543-2000

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	04/23/2008

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