Individual
DR. EDWARD L. EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2655 CTY HWY I, CHIPPEWA FALLS, WI 54729-1423
(715) 726-4200
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
49828
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066359
—
IL
05
—
APPR
—
WI
Enumeration date
01/25/2006
Last updated
08/17/2011
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