Individual
ELIZABETH W EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4700 SCHAEFER RD, DEARBORN, MI 48126-3698
(313) 581-2600
(313) 581-0228
Mailing address
PO BOX 914, BLOOMFIELD HILLS, MI 48303-0914
(313) 430-3775
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
EE028998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1957974
—
MI
01
—
250H222820
BCBSM
MI
Enumeration date
03/20/2006
Last updated
02/22/2012
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