Individual
MICHAEL H. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-8064
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-8064
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
30352
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64303522
—
KY
Enumeration date
12/06/2005
Last updated
10/02/2013
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