Individual
RICKIE LLOYD EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 E SHERMAN BLVD STE 2400, MUSKEGON, MI 49444-1886
(231) 672-4243
(231) 727-4214
Mailing address
1150 E SHERMAN BLVD STE 2400, MUSKEGON, MI 49444-1886
(231) 672-4243
(231) 727-4214
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301100714
MI
207T00000X
Neurological Surgery Physician
ME145997
FL
207T00000X
Neurological Surgery Physician
NONE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275748212
—
MI
01
—
MI1763058
MEDICARE PTAN
MI
Enumeration date
05/12/2007
Last updated
10/13/2023
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