# EDSON MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PCA Pain Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518242734
- **Authorized official:** ADAM EDSON (PRESIDENT)
- **Authorized official phone:** (800) 909-5866

## Contact information

- **Practice address:** 16986 ROBBINS RD, SUITE 180, GRAND HAVEN, MI 49417-2795
- **Practice address phone:** (800) 909-9220
- **Mailing address:** 16986 ROBBINS RD, SUITE 180, GRAND HAVEN, MI 49417-2795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 10/19/2011