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1093000366
GREGG M EBERSOLE
SOUTH BEND, IN
NPI
1093000366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IN 01079875A)
Enumeration Date
2011-06-15
Last Update Date
2021-04-01
Business Address
GREGG M EBERSOLE M.D.
100 NAVARRE PL STE 4440
SOUTH BEND, IN 46601-1171
Phone number: 574-647-5300
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Mailing Address
GREGG M EBERSOLE M.D.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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