JOHN STEPHEN EBROM

GRAND RAPIDS, MI
NPI1184636953
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: MI  4301044412)
Enumeration Date2006-08-12
Last Update Date2007-08-20
Business Address
-- JOHN STEPHEN EBROM MD
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Phone number: 616-364-6700
Mailing Address
-- JOHN STEPHEN EBROM MD
PO BOX 77000 DEPT #77339
DETROIT, MI 48277-0339
Phone number: 616-364-6700
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