Organization
EDWARD A CLAY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A CLAY MD (OWNER)
(248) 470-1280
Entity
Organization
Contact information
Practice address
20001 GREENFIELD RD, SUITE 6, DETROIT, MI 48235-1870
(248) 470-1280
Mailing address
PO BOX 35210, DETROIT, MI 48235-0210
(248) 470-1280
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101877087
—
MI
01
—
1108239391
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/14/2007
Last updated
03/18/2010
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