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Individual
DR. RUSSELL J EBKE
Active
Individual
DR. RUSSELL J EBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17808
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100475
UNITED HEALTHCARE
NE
01
—
0100476
UNITED HEALTHCARE
NE
01
—
080178127
RAILROAD MEDICARE
NE
01
—
2703
MIDLANDS CHOICE
NE
01
—
35706
BCBS OF NEBRASKA
NE
Enumeration date
05/11/2006
Last updated
09/08/2010
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