Individual
DR. SEAN T EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
105 S PEARL ST, TECUMSEH, MI 49286-1951
(517) 423-3600
(517) 423-1452
Mailing address
105 S PEARL ST, TECUMSEH, MI 49286-1951
(517) 423-3600
(517) 423-1452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SE007601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D61135
BCBS OF MICHIGAN
MI
01
—
0D65031
BCBS
MI
05
—
144189520
—
MI
Enumeration date
06/26/2006
Last updated
06/05/2008
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