Organization
EDSON MEDICAL CLINIC, LLC
Active
Other names
PCA Pain Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM EDSON (PRESIDENT)
(800) 909-5866
Entity
Organization
Contact information
Practice address
16986 ROBBINS RD, SUITE 180, GRAND HAVEN, MI 49417-2795
(800) 909-9220
Mailing address
16986 ROBBINS RD, SUITE 180, GRAND HAVEN, MI 49417-2795
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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