Individual
DR. KRISTIN MAUREEN EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1675 HIGHLAND AVE, MADISON, WI 53792-5703
(608) 263-6420
(608) 890-9745
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
75861
WI
2088P0231X
Pediatric Urology Physician
Primary
75861
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0395567
—
OH
05
—
100182252
—
WI
01
—
H695240
MEDICARE-CGS
OH
Enumeration date
03/16/2014
Last updated
10/21/2024
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