Individual
DR. BRENT LEE EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7616 BROCKWAY RD, BROCKWAY, MI 48097-3408
(810) 387-3342
(810) 387-3543
Mailing address
7616 BROCKWAY RD, BROCKWAY, MI 48097-3408
(810) 387-3342
(810) 387-3543
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
BE006504
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950G411160
BCBSMI
MI
Enumeration date
09/06/2005
Last updated
06/16/2014
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