Individual
MRS. MAUREEN MIKA EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5589
(616) 393-5659
Mailing address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5589
(616) 393-5659
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704141588
MI
Other
Enumeration date
04/09/2007
Last updated
01/09/2012
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