Organization
EDWARD M LICHTEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MARK LICHTEN M.D. (OWNER)
(248) 593-9999
Entity
Organization
Contact information
Practice address
555 S OLD WOODWARD AVE, SUITE 700, BIRMINGHAM, MI 48009-6658
(248) 593-9999
(248) 792-2997
Mailing address
555 S OLD WOODWARD AVE, SUITE 700, BIRMINGHAM, MI 48009-6658
(248) 593-9999
(248) 792-2997
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
03/31/2010
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