Individual
MR. MICHAEL JAMES EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3286
(814) 375-3384
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3286
(814) 375-3384
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AA083447
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
RN558153
PA
Other
Enumeration date
04/23/2008
Last updated
01/24/2013
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