Emil Ethan Ebner, DO
Pediatrics in Saint Joseph, MI. Individual provider (NPI-1).
NPI number1740541176
StatusActive
Last updated in NPPESJul 16, 2018
Details
- NPI
- 1740541176
- Entity type
- Individual (NPI-1)
- Name
- Emil Ethan Ebner
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2012
- Last updated
- Jul 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 5101020015 | MI | Yes |
| 207R00000X | Internal Medicine | 5101020015 | MI | |
| 208M00000X | Hospitalist | 5101020015 | MI |
Practice location
1234 Napier AveSaint Joseph, MI 49085
Phone 269-983-8300 · Fax 269-985-4523
Mailing address
1234 Napier AveSaint Joseph, MI 49085-2112
Phone 269-982-4862 · Fax 269-985-4535
Other practice locations
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Kalamazoo, MI 49008-1282
Phone 269-337-4400
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