Individual
MR. GARY ROLAND EBEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
902 41ST AVE N, FARGO, ND 58102-5301
(701) 232-3241
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R16680
ND
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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