Individual
TODD L EBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
37348
IA
2085R0202X
Diagnostic Radiology Physician
55057
MN
2085R0202X
Diagnostic Radiology Physician
Primary
57090
WI
Other
Enumeration date
07/11/2007
Last updated
09/24/2015
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