Individual
SEAN PETER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4301082697
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4301082697
MI
208600000X
Surgery Physician
4301082697
MI
Other
Enumeration date
08/12/2006
Last updated
08/26/2025
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