Individual
DR. EDWARD ALEXANDER PEREZ-CONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
4301071310
MI
207P00000X
Emergency Medicine Physician
4301071310
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102200921
BCBS MI
MI
01
—
930124796
RR MEDICARE
MI
Enumeration date
03/03/2006
Last updated
07/10/2012
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