Individual
BRIAN T EBELING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9358 ENSIGN AVE S, BLOOMINGTON, MN 55438-1455
(952) 985-8500
(952) 985-8599
Mailing address
7801 EAST BUSH LAKE RD, STE 300, BLOOMINGTON, MN 55439-3114
(952) 985-8911
(952) 985-8999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20228
MN
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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