Organization
EDGAR CRUZ M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR CRUZ M.D. (OWNER)
(586) 752-3444
Entity
Organization
Contact information
Practice address
66841 VAN DYKE RD, WASHINGTON, MI 48095-2019
(586) 752-3444
(586) 752-2082
Mailing address
66841 VAN DYKE RD, WASHINGTON, MI 48095-2019
(586) 752-3444
(586) 752-2082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301077627
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501533
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/22/2006
Last updated
08/22/2020
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