Individual
DR. EDWARD PETER WASHABAUGH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 AVIS DR STE 200, ANN ARBOR, MI 48108-9649
(734) 373-7246
(734) 375-6585
Mailing address
710 AVIS DR STE 200, ANN ARBOR, MI 48108-9649
(734) 373-7246
(734) 375-6585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301055135
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301055135
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0813415
BCBS OF MI PIN
MI
01
—
1589714
UNITED HEALTHCARE NO
MI
01
—
5894443
AETNA INDIVIDUAL NO
MI
Enumeration date
09/20/2006
Last updated
02/25/2025
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