person
Thomas Jerry Ibach, MD
Diagnostic Radiology Physician in Eden Prairie, Minnesota
NPI 1538116595

Thomas Jerry Ibach is a Diagnostic Radiology Physician based in Eden Prairie, MN and is specialized in Diagnostic Radiology. Thomas Jerry Ibach practices in Eden Prairie, MN and has the professional credentials of MD. The NPI Number for Thomas Jerry Ibach is 1538116595 and holds a License No. 33694 (Minnesota).

The current practice location address for Thomas Jerry Ibach is 7595 Anagram Dr, Eden Prairie, MN and can be reached out via phone at 612-573-2200 and via fax at 612-573-2274.

Location: 7595 Anagram Dr, Eden Prairie, MN, 55344-7399
person
Provider Profile Details
NPI Number
1538116595
Provider Name
Thomas Jerry Ibach
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7595 Anagram Dr, Eden Prairie, MN, 55344-7399
Phone Number
612-573-2200
Fax Number
612-573-2274
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300032803 01 MN RAILROAD MEDICAR WI
9F048IB 01 MN BLUE CROSS
100494 01 MN UCARE
1025324 01 MN PREFERRED ONE
1272971 05 IA
8734132 01 MN DAKOTA CARE
883505500 05 MN
22833 01 MN AMERICA'S PPO
298G3IB 01 MN BLUE CROSS
34402300 05 WI
HP13581 01 MN HEALTHPARTNERS
253015 01 MN MIDLANDS CHOICE INC
300085351 01 MN RAILROAD MEDICARE MN
institution
Provider Business Practice Location Address Details
Address
7595 Anagram Dr
City
State
Zip
55344-7399
Phone Number
612-573-2200
Fax Number
612-573-2274
person
Provider Business Mailing Address Details
Address
7595 Anagram Dr
City
State
Zip
55344-7399
Phone Number
612-573-2200
Fax Number
612-573-2274
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
33694 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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