Individual
J. MICHAEL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
265 CAREFREE WAY, FRIDAY HARBOR, WA 98250-9417
(360) 378-6076
Mailing address
265 CAREFREE WAY, FRIDAY HARBOR, WA 98250-9417
(360) 378-6076
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD00028212
WA
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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