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Individual

DR. JOSEPH MARK EBERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2700 STATE ST, BISMARCK, ND 58503-0669
(701) 712-4500
(701) 712-4011
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 712-4500
(701) 712-4098

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5421
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070015671
MEDICARE RAILROAD
ND
05
11591
ND
Enumeration date
05/20/2006
Last updated
05/16/2023
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