Individual
DR. DONALD R EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 258-1830
Mailing address
814 BAINBRIDGE PL, GOSHEN, IN 46526-5527
(574) 536-2541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100377500
—
IN
Enumeration date
01/25/2006
Last updated
12/10/2024
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