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Individual

DR. ROBERT EDWARDS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
21860 CHASE DR, NOVI, MI 48375-4766

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301070788
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RE070788
BC/BS OF MICHIGAN
MI
Enumeration date
06/09/2006
Last updated
07/08/2007
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