Individual
MICHAEL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4860 Y ST, SACRAMENTO, CA 95817-2307
(916) 734-3658
(916) 703-5368
Mailing address
4860 Y ST STE 3740, SACRAMENTO, CA 95817-2309
(916) 734-3658
(916) 703-5368
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C37469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C374690
—
CA
Enumeration date
10/24/2006
Last updated
03/15/2019
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