Organization
EDWARD J NEBEL, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J NEBEL M.D. (OWNER)
(810) 982-9911
Entity
Organization
Contact information
Practice address
2615 ELECTRIC AVE, SUITE A, PORT HURON, MI 48060-6575
(810) 982-9911
(810) 985-7740
Mailing address
2615 ELECTRIC AVE, SUITE A, PORT HURON, MI 48060-6575
(810) 982-9911
(810) 985-7740
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
EN027615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0741076
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
2887650
—
MI
Enumeration date
01/19/2010
Last updated
01/19/2010
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