Provider profile

Individual

Thomas Jerry Ibach

Radiology in Eden Prairie, MN. NPI 1538116595, listed in the CMS NPI Registry since 05/27/2006. Bills Medicare.

NPI 1538116595Specialty RadiologyEnumerated 05/27/2006
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Registry and Medicare facts

Practice location
7595 Anagram Dr, Eden Prairie, MN 55344
CMS NPI Registry
Phone
(612) 573-2200
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
05/27/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,208 Part B
CMS Medicare 2024

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