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Individual

DR. EDWARD MARK LICHTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
555 S OLD WOODWARD AVE, SUITE 700, BIRMINGHAM, MI 48009-6658
(248) 593-9999
Mailing address
555 S OLD WOODWARD AVE, SUITE 700, BIRMINGHAM, MI 48009-6658
(248) 420-8726

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
EL040270
MI

Other

Enumeration date
08/31/2006
Last updated
03/31/2010
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