Individual
DR. EDWARD P. FODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(517) 403-0763
(800) 576-8369
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301084665
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704015
—
MI
Enumeration date
11/23/2005
Last updated
01/23/2014
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