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Individual

JOHN R. EBENSBERGER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11779 JAY AVE, GREENE, IA 50636-9023
(641) 823-4679
Mailing address
11779 JAY AVE, GREENE, IA 50636-9023
(641) 823-4679

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21584
IA

Other

Enumeration date
11/14/2005
Last updated
07/08/2007
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