Organization
EDGEWOOD CENTER OTOLARYNGOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD MARK YERMAN M.D. (PRESIDENT)
(248) 360-5881
Entity
Organization
Contact information
Practice address
8898 COMMERCE RD STE 1, COMMERCE TWP, MI 48382-4485
(248) 360-5881
(248) 360-5882
Mailing address
8898 COMMERCE RD STE 1, COMMERCE TWP, MI 48382-4485
(248) 360-5881
(248) 360-5882
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
HY055619
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406389272
BCBS
—
05
—
3013138
—
MI
01
—
P65910
BCN
—
Enumeration date
03/01/2007
Last updated
05/14/2008
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