Individual
MS. DAWN EBERSOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
560 W MITCHELL ST, SUITE M40, PETOSKEY, MI 49770-2275
(231) 487-2391
(231) 487-6513
Mailing address
560 W MITCHELL ST, SUITE M40, PETOSKEY, MI 49770-2275
(231) 487-2391
(231) 487-6513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704190755
MI
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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