Individual
PAUL A. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, ONE FORD PLACE 1F -BEHAVIORAL, DETROIT, MI 48202
(313) 876-6677
(313) 874-6650
Mailing address
HENRY FORD HEALTH SYSTEM, ONE FORD PLACE 1F -BEHAVIORAL, DETROIT, MI 48202
(313) 876-6677
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
054513
MI
207W00000X
Ophthalmology Physician
Primary
4301054513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180H262240
BLUE CROSS-BLUE CROSS
—
05
—
283982110
—
MI
01
—
PE054513
CHAMPUS-CHAMPUS
—
Enumeration date
12/08/2006
Last updated
04/21/2022
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