Individual
DIANA EBLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-4055
(812) 855-4628
Mailing address
6196 E STATE ROAD 46, BLOOMINGTON, IN 47401-9267
(812) 855-4055
(812) 855-4628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029436A
IN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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