Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REGINALD A EBIRIM, M.D.
ActiveFamily Medicine · NEW LONDON, WI
Registration Details
- NPI Number
- 1396702957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.003944836179 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
036113328 (IL)68084 (WI)
Practice Information
- Address
-
1405 MILL STNEW LONDON, WI, 549612155Browse WI providers · Browse ZIP 54961
- Phone
- 9205312000
- Fax
- 9205312098
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in NEW LONDON, WI
| Name | Credential | NPI |
|---|---|---|
| DALE L SCHLAIS | MD | 1508851403 |
| DR. JOHN A WATRING | D.O. | 1477539153 |
| MICHAEL LYNN FETTEROLF | MD | 1821069691 |
| STEVEN A GOEDDERZ | MD | 1841226818 |
| JOSEPH LAMB | MD | 1578583621 |
| RENAE SCHULER | MD | 1366462335 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.