Individual
ANNE R EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 W HIGH ST STE 360, LIMA, OH 45801-3985
(419) 227-7117
(419) 227-2848
Mailing address
830 W HIGH ST STE 360, LIMA, OH 45801-3985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35125280
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140414
—
OH
Enumeration date
05/11/2010
Last updated
08/12/2019
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