NPI 1083700090

Diana Ebling, MD

Practitioner Family Medicine Physician Bloomington, IN

Practice location

Address: 600 N Jordan Ave, Bloomington, IN 47405-3190
Phone: (812) 855-4055
Fax: (812) 855-4628
Mailing address: 6196 E State Road 46, Bloomington, IN 47401-9267

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01029436A (IN)

Other Family Medicine providers in Indiana →

Registry record

NPI: 1083700090
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.