# DR. EDWARD ALEXANDER PEREZ-CONDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124095591
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | 4301071310 | MI | Yes |
| 207P00000X | Emergency Medicine Physician | 4301071310 | MI | — |

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 07/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0102200921 | BCBS MI | MI |
| 01 | — | 930124796 | RR MEDICARE | MI |