Individual
DR. JOHN S EBISU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12333 NE 130TH LN, SUITE 420, KIRKLAND, WA 98034-7467
(206) 838-2590
(206) 264-8689
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00027066
WA
Other
Enumeration date
03/15/2006
Last updated
10/07/2011
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