# ASL MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093901993
- **Authorized official:** DR. EDWIN T. PEARCE JR. M.D. (OWNER/PROVIDER)
- **Authorized official phone:** (734) 347-1462

## Contact information

- **Practice address:** 42627 GARFIELD RD, SUITE 213, CLINTON TOWNSHIP, MI 48038-5032
- **Practice address phone:** (734) 347-1462
- **Practice address fax:** (810) 458-4187
- **Mailing address:** PO BOX 489, LINDEN, MI 48451-0489
- **Mailing address phone:** (734) 347-1462
- **Mailing address fax:** (810) 458-4187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301021837 | MI | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 05/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11285679 | CAQH | MI |
| 05 | — | 3262071 | — | MI |