Individual
KADENCE EDELBLUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 W SEAWAY DR, NORTON SHORES, MI 49444-3759
(231) 375-8065
Mailing address
950 FRANKLIN AVE, GRAND HAVEN, MI 49417-1614
(616) 502-5940
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601009749
MI
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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