Organization
ASL MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN T. PEARCE JR. M.D. (OWNER/PROVIDER)
(734) 347-1462
Entity
Organization
Contact information
Practice address
42627 GARFIELD RD, SUITE 213, CLINTON TOWNSHIP, MI 48038-5032
(734) 347-1462
(810) 458-4187
Mailing address
PO BOX 489, LINDEN, MI 48451-0489
(734) 347-1462
(810) 458-4187
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301021837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11285679
CAQH
MI
05
—
3262071
—
MI
Enumeration date
09/25/2007
Last updated
05/22/2008
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