Individual
RUSSELL EBERHARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 NORTH AVE, BATTLE CREEK, MI 49017-3307
(269) 245-8000
Mailing address
7240 MACKENZIE LN, PORTAGE, MI 49024-4414
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704226102
MI
Other
Enumeration date
10/28/2014
Last updated
03/26/2026
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