Individual
MICHAEL EBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5051 GREENSPRING AVE STE 200, BALTIMORE, MD 21209-4357
(410) 601-9515
(410) 601-1910
Mailing address
1823 RYAN RD, FAIRMONT, WV 26554-9268
(304) 694-6688
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H91879
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
06/18/2021
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