Individual
BRANDY EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
26006 PONTIAC TRL, SOUTH LYON, MI 48178-8050
(248) 437-5613
(248) 437-5694
Mailing address
26006 PONTIAC TRL, SOUTH LYON, MI 48178-8050
(248) 437-5613
(248) 437-5694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016493
MI
Other
Enumeration date
05/07/2007
Last updated
04/01/2011
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