DR. Adrian Peter Ebben, OD

NPI #1053397042 in Kimberly, Wisconsin

Provider Information

NPI Number: 1053397042
Entity Type: Individual
Name: DR. Adrian Peter Ebben, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 21, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 222 N MAIN ST
City: Kimberly
State: Wisconsin
ZIP Code: 54136-1415
Phone: (920) 788-5612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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