Individual
DR. BOBBI EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24901 NORTHWESTERN HWY, SUITE 214, SOUTHFIELD, MI 48075
(248) 483-8488
(248) 483-8489
Mailing address
24901 NORTHWESTERN HWY STE 214, SOUTHFIELD, MI 48075-2205
(248) 483-8488
(248) 483-8489
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301063204
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016468
RAILROAD MEDICARE INDIVIDUAL
MI
01
—
0706339290
BLUE CROSS BLUE SHIELD
MI
01
—
0F34284
BCBSM
MI
05
—
104308193
—
MI
01
—
264628YMPJ
MARYLAND DC MEDICARE PIN NUMBER
MD
01
—
DG7630
RAILROAD MEDICARE GROUP NUMBER
MI
01
—
G80275
HEALTH ALLIANCE PLAN
MI
Enumeration date
08/15/2006
Last updated
05/31/2018
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