Individual
MICHAEL C EDMUNDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2593 WEXFORD BAYNE RD, SEWICKLEY, PA 15143-8608
(412) 292-1219
Mailing address
2593 WEXFORD BAYNE RD, SEWICKLEY, PA 15143-8608
(412) 292-1219
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OH000112
PA
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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