Individual
MICHAEL J EDWARDS
Active
Individual
MICHAEL J EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.091070
OH
208600000X
Surgery Physician
E-3646
AR
2086X0206X
Surgical Oncology Physician
Primary
22370
KY
2086X0206X
Surgical Oncology Physician
35.091070
OH
2086X0206X
Surgical Oncology Physician
E-3646
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149591001
—
AR
Enumeration date
10/13/2006
Last updated
01/31/2024
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