Individual
PRINCE JEROME EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17330 NORTHLAND PARK CT STE 100, SOUTHFIELD, MI 48075-4319
(248) 569-1045
(248) 569-1058
Mailing address
19785 W 12 MILE RD STE 268, SOUTHFIELD, MI 48076-2584
(248) 569-1045
(248) 569-1058
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
4301044813
MI
207RG0100X
Gastroenterology Physician
Primary
4301044813
MI
Other
Enumeration date
09/26/2006
Last updated
09/05/2025
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