Individual
EDWARD S. JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24715 LITTLE MACK AVE, SUITE 100, ST CLAIR SHORES, MI 48080-3207
(586) 779-7970
(586) 779-7748
Mailing address
24715 LITTLE MACK AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-7970
(586) 779-7748
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301035306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303498
—
MI
Enumeration date
01/30/2006
Last updated
02/19/2014
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