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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EMIL ETHAN EBNER, DO

Active

EMIL ETHAN EBNER, DO is a Pediatrics healthcare provider located in SAINT JOSEPH, Michigan. NPI 1740541176 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · SAINT JOSEPH, MI

Registration Details

NPI Number
1740541176
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2012 (14.231383066352 yrs)
Last Updated
Jul 16, 2018
Licenses
5101020015 (MI)
5101020015 (MI)
5101020015 (MI)

Practice Information

Address
1234 NAPIER AVE
SAINT JOSEPH, MI, 49085
Browse MI providers · Browse ZIP 49085
Phone
2699838300
Fax
2699854523
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Hospitalist
Additional Specialty
Pediatrics

Other Pediatrics Providers in SAINT JOSEPH, MI

Name Credential NPI
MICHAEL RAYMOND WARMOTH MD 1215932207
DR. KAREN J DYER M.D. 1003854530
DR. PRUDENCE LYNN BARRETT MD 1962503326
MUKUND SHAH M.D. 1013086446
DR. AMI SHAH MD 1336272459
DESIRE M ANDERSEN M.D. 1093033029
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.