MEDICARE: EBERT MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5101009029	MI

General Provider Information

NPI Number	:	1639223910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EBERT MEDICAL PC

Provider Business Mailing Address
First Line	:	6800 NEWARK RD
Second Line	:	STE 300
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-9656
Country	:	US
Telephone Number	:	810-724-1600
Fax Number	:	810-724-1603

Provider Business Practice Location Address
First Line	:	6800 NEWARK RD
Second Line	:	STE 300
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-9656
Country	:	US
Telephone Number	:	810-724-1600
Fax Number	:	810-724-1603

Authorized Official
Title or Position	:	OWNER
Name	:	GALEN EBERT
Credential	:	DO
Telephone Number	:	810-424-2007

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	11/29/2010

Similar Medicare Providers

1407905110 — DR. CHARLES GODFREY NORMAN II D.D.S.
Practice Location Address:

6800 NEWARK RD , SUITE 200
IMLAY CITY, MI
48444-9656

Practice Phone: 810-721-7453
Practice Fax:

1710181128 — GREAT LAKES BAY HEALTH CENTERS
Practice Location Address:

6800 NEWARK RD , SUITE 200
IMLAY CITY, MI
48444-9656

Practice Phone: 810-724-3201
Practice Fax: 810-724-4605

1801025432 — DAVID WITTGENS M.D.
Practice Location Address:

6800 NEWARK RD STE 200
IMLAY CITY, MI
48444-9656

Practice Phone: 810-724-3201
Practice Fax: 810-724-4605

1801171574 — DENIS H PATEL PT
Practice Location Address:

6800 NEWARK RD
IMLAY CITY, MI
48444-9656

Practice Phone: 810-721-8700
Practice Fax: 810-721-8715

1710250683 — VINITA D SHAH PT
Practice Location Address:

6800 NEWARK RD , SUITE 200
IMLAY CITY, MI
48444-9656

Practice Phone: 810-721-8700
Practice Fax: 810-721-8715

1831561182 — GREAT LAKES BAY HEALTH CENTERS
Practice Location Address:

6800 NEWARK RD
IMLAY CITY, MI
48444-9656

Practice Phone: 810-724-3201
Practice Fax: 810-724-4605

Directions to “EBERT MEDICAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.