Individual
DR. BRIAN N EBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BELOIT HEALTH SYSTEMS INC, 1969 W HART ROAD, BELOIT, WI 53511-2298
(608) 363-5971
(608) 363-5737
Mailing address
BELOIT HEALTH SYSTEMS INC, 1969 W HART ROAD, BELOIT, WI 53511-2298
(608) 364-2293
(608) 363-5737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
75805-20
WI
208M00000X
Hospitalist Physician
Primary
75805-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177332
—
WI
Enumeration date
04/04/2018
Last updated
08/28/2024
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