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Individual

CHAD WILLIAM EDISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1921 W. US 223, ADRIAN, MI 49221
(517) 263-2900
(517) 263-9250
Mailing address
1921 W. US 223, ADRIAN, MI 49221
(517) 263-2900
(517) 263-9250

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE007123
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ON29910
MEDICARE ID
MI
Enumeration date
08/26/2005
Last updated
07/20/2011
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