John Robert Ekblad, DO
Student in an Organized Health Care Education/Training Program in Detroit, MI. Individual provider (NPI-1).
Details
- NPI
- 1669059705
- Entity type
- Individual (NPI-1)
- Name
- John Robert Ekblad
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2021
- Certification date
- Jun 19, 2026
- Last updated
- Jun 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4201 Saint Antoine StDetroit, MI 48201-2153
Phone 970-980-3569
Mailing address
4201 Saint Antoine StDetroit, MI 48201-2153
Phone 970-980-3569
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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