Individual
MICHELLE A EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 W COLLEGE AVE FL 3, APPLETON, WI 54911-5749
(833) 351-8255
(888) 815-3583
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
(888) 815-3583
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
100063-875
WI
2084P0800X
Psychiatry Physician
4301508340
MI
2084P0800X
Psychiatry Physician
Primary
81341-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82082
AMERICAN BOARD OF PSYCHIATRY NEUROLOGY
—
Enumeration date
03/09/2018
Last updated
07/20/2026
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