Individual
LOUITO CATHERINA EDJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 539-5000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-072147
OH
207Q00000X
Family Medicine Physician
35072147E
OH
207Q00000X
Family Medicine Physician
Primary
4301510115
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2199008
—
OH
Enumeration date
11/05/2005
Last updated
01/26/2024
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