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Contact Information

BLAKE A EBNER, MD/PHD
200 1ST ST SW
ROCHESTER, MN55905-0001
 Phone: 507-284-2511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for BLAKE A EBNER · (Male)

NPI # 1609486505
Status Active
Credentials MD/PHD
Entity Individual
Enumeration date 08/05/2020
Last updated 02/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 31201
  • MN License # 70839
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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