Individual
DR. MICHAEL MARVIN EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G009107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000G91070
BLUE SHIELD
CA
05
—
000G91070
—
CA
Enumeration date
10/12/2006
Last updated
02/06/2014
Update your record
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