Individual
MICHAEL A EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6000
Mailing address
224 W EXCHANGE ST STE 220, SUITE 220, AKRON, OH 44302-1726
(330) 344-7040
(330) 344-1714
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.341135
OH
367500000X
Certified Registered Nurse Anesthetist
28233449A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
COA16580NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111802
—
OH
01
—
H385470
OHIO MEDICARE
OH
Enumeration date
09/03/2014
Last updated
01/06/2017
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