Individual
SUDESH J EBENEZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, ED.M., FRCSC
Contact information
Practice address
4800 S SAGINAW ST, SUITE 1800, FLINT, MI 48507-2677
(810) 732-8336
(810) 963-1674
Mailing address
4800 S SAGINAW ST, SUITE 1800, FLINT, MI 48507-2677
(810) 732-8336
(810) 963-1674
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036175459
IL
207T00000X
Neurological Surgery Physician
Primary
4301099586
MI
Other
Enumeration date
05/01/2006
Last updated
11/06/2025
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