Individual
EDWARD DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-4899
(313) 576-1086
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-4899
(313) 576-1086
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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