Individual
TIMOTHY F EBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
(320) 202-0756
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
(320) 202-0756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40915
MN
208M00000X
Hospitalist Physician
Primary
40915
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416317600
—
MN
Enumeration date
06/25/2006
Last updated
10/30/2015
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