Individual
MATTHEW WILLIAM EBINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101013506
MI
207RC0000X
Cardiovascular Disease Physician
5101013506
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
5101013506
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11
11
MI
05
—
PENDING
—
MI
Enumeration date
05/06/2006
Last updated
10/05/2022
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