Individual
MICHAEL EDMUNDS
Active
Individual
MICHAEL EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6786
NV
207X00000X
Orthopaedic Surgery Physician
G75392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013131
—
NV
01
—
200026572
MEDICARE RAILROAD
NV
01
—
CC7065
BCBS
NV
Enumeration date
11/02/2005
Last updated
07/22/2021
Update your record
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