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Individual
DR. TIMOTHY JAMES EBBERT
Active
Individual
DR. TIMOTHY JAMES EBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
47455-020
WI
207L00000X
Anesthesiology Physician
Primary
C161824
CA
207L00000X
Anesthesiology Physician
MD035605
DC
Other
Enumeration date
04/01/2008
Last updated
03/13/2020
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