NPI 1023185287

John Douglas Ebersole, MD

Practitioner Vascular & Interventional Radiology Physician Royal Oak, MI

Practice location

Address: 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
Phone: (248) 898-6064
Mailing address: 26901 Beaumont Blvd STE 3d, Southfield, MI 48033-3849

Registered specialties (2)

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 4301074124 (MI)

Other Radiology providers in Michigan →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 4301074124 (MI)

Registry record

NPI: 1023185287
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Nov 2006
Record last updated: 22 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.