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1700992625
TERRY WAYNE EBERT
MUNSTER, IN
NPI
1700992625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: IN 01022150A)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Dr. TERRY WAYNE EBERT M.D.
509 RIDGE RD SUITE 1
MUNSTER, IN 46321-1643
Phone number: 219-836-1050
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Mailing Address
Dr. TERRY WAYNE EBERT M.D.
509 RIDGE RD SUITE 1
MUNSTER, IN 46321-1643
Phone number: 219-836-1050
Copy
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