MRS. Erica Lynne Ibendahl, M.D.

NPI #1134483514 in Columbia, Missouri

Provider Information

NPI Number: 1134483514
Entity Type: Individual
Name: MRS. Erica Lynne Ibendahl, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jun 29, 2012
Last Updated: Oct 22, 2020

Practice Location

Address: ONE HOSPITAL DRIVE
Address 2: MC 414 MCHANEY HALL
City: Columbia
State: Missouri
ZIP Code: 65212
Phone: (573) 882-5609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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