Individual
EDGAR ABUYAN ALTARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 SOUTH BLVD E, STE 150, ROCHESTER HILLS, MI 48307-6122
(248) 853-6300
(248) 853-6303
Mailing address
1701 SOUTH BLVD E, STE 270, ROCHESTER HILLS, MI 48307-6122
(248) 853-2223
(248) 853-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301058048
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F32365
BCBS
MI
05
—
104860969
—
MI
Enumeration date
11/13/2006
Last updated
10/16/2009
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