| Doctor Name: | STEPHEN MICHAEL EBY |
| NPI Number: | 1154770493 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 11932 Algonquin Dr Pinckney, MI - 481699511 |
| Business Phone Number: | 2486132038 |
| Business Fax Number: | |
| Mailing Address: | 11932 Algonquin Dr, PINCKNEY |
| State: | MI |
| Postal Code: | 481699511 |
| Phone Number: | 2486132038 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2016 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2470A2800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Health Information |
| Taxonomy Specialization: | Assistant Record Technician |
| Taxonomy Definition: | |