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NPI Code Detail

MEDICARE: DR. EMIL E EBNER MD

MEDICARE: DR. EMIL E EBNER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician4301041180MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851353825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMIL E EBNER MD
Provider Business Mailing Address
First Line : 14231 BEADLE LAKE RD
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49014-8213
Country : US
Telephone Number : 269-962-0441
Fax Number : 269-962-0925
Provider Business Practice Location Address
First Line : 14231 BEADLE LAKE RD
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49014-8213
Country : US
Telephone Number : 269-962-0441
Fax Number : 269-962-0925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 12/05/2014

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Directions to “ DR. EMIL E EBNER MD” Practice Location

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