Individual
PATRICK EBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1402 S 1ST ST, CHAMPAIGN, IL 61820-6916
(415) 847-4233
Mailing address
1151 APPIAN WAY, APT B307, MOUNT PLEASANT, MI 48858
(415) 847-4233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
07/09/2019
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