Individual
MICHAEL THOMAS EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
(419) 224-0015
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
34.013877
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
34.013877
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2013
Last updated
04/19/2024
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