Individual
JOHN P EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6008 DUBLIN AVE, MIDLAND, MI 48640-7945
(989) 859-5584
(989) 839-8207
Mailing address
6008 DUBLIN AVE, MIDLAND, MI 48640-7945
(989) 839-8207
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704079277
MI
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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