Individual
DR. EDWIN DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Mailing address
31787 CLARITA ST, LIVONIA, MI 48152-3389
(248) 497-1780
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1952928467
MI
Other
Enumeration date
06/30/2020
Last updated
07/17/2020
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