| John Stephen Ebrom, MD | |
|
200 Jefferson Ave Se, Grand Rapids, MI 49503 | |
| (616) 364-6700 | |
| (616) 364-4960 |
| Full Name | John Stephen Ebrom |
|---|---|
| Gender | Male |
| Speciality | Pathology - Clinical Pathology/laboratory Medicine |
| Location | 200 Jefferson Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184636953 | NPI | - | NPPES |
| 4525177100 | Medicaid | MI | |
| P00009267 | Other | MI | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 4301044412 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Stephen Ebrom, MD Po Box 77000, Dept #77339, Detroit, MI 48277-0339 Ph: (616) 364-6700 | John Stephen Ebrom, MD 200 Jefferson Ave Se, Grand Rapids, MI 49503 Ph: (616) 364-6700 |
Meggen Walsh, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: Michigan Pathology Specialists, 35 Michigan Street Ne, Grand Rapids, MI 49503 Phone: 616-267-2350 Fax: 616-267-2351 | |
Dr. Jennifer Stumph, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1840 Fax: 616-391-8875 | |
Dr. Frances Lucianne Rosario Quinones, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 35 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-267-2660 | |
Dr. Elizabeth Ann Steensma, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503 Phone: 616-486-9600 | |
Lee Ann Weitekamp, MD Pathology Medicare: Medicare Enrolled Practice Location: 1036 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 616-233-8574 | |
Dr. Timothy Pancioli, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 1036 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 248-898-5000 |