Individual
DR. EDWARD DAVID LANIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42 N SAINT JOSEPH AVE, SUITE 103, NILES, MI 49120-2203
(269) 683-8070
(269) 683-8660
Mailing address
42 N SAINT JOSEPH AVE, SUITE 103, NILES, MI 49120-2203
(269) 683-8070
(269) 683-8660
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
4301035365
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
4301035365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255444907
—
MI
05
—
4354697
—
MI
Enumeration date
08/16/2006
Last updated
03/27/2017
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