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Individual

DR. DALE EKBOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
41971
TN
207Y00000X
Otolaryngology Physician
4301080386
MI
207Y00000X
Otolaryngology Physician
Primary
49977
MN

Other

Enumeration date
03/22/2007
Last updated
08/13/2020
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