Individual
DAWN RENAE EBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8372
(319) 356-8967
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8372
(319) 356-8967
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36059
IA
2080P0206X
Pediatric Gastroenterology Physician
Primary
36059
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39280
WELLMARK BCBS
IA
Enumeration date
09/16/2005
Last updated
09/05/2025
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