Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Stephen Ebrom, MD

Individual provider Clinical Pathology/Laboratory Medicine Physician · NPI 1184636953

John Stephen Ebrom, MD is a Clinical Pathology/Laboratory Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone: (616) 364-6700
Fax: (616) 364-4960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X · Licence 4301044412 (MI)

Record details

NPI number1184636953
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESAugust 20, 2007
Mailing addressPo Box 77000, Dept #77339, Detroit, MI 48277-0339

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