Individual
DR. EDWARD ENZHONG XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
199 W MAIN ST, SHELBY, OH 44875-1490
(419) 342-1730
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.093225
OH
207Q00000X
Family Medicine Physician
35.093225
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2949386
—
OH
05
—
3810026091
—
WV
Enumeration date
06/15/2008
Last updated
01/08/2019
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