Edwin L Delange D.O. PC

NPI 1073510723 - Family Medicine - 207Q00000X

NPI Details
NPI 1073510723
Gender Male
Enumeration Date 07/07/2005
Last Updated 01/12/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
3273 DAVISON RD
STE 2
LAPEER MI, 48446-2902, US
Phone (810) 667-8840
Fax (810) 667-8846
Business Location
1461 BALDWIN RD
LAPEER MI, 48446-9776, US
Phone (810) 667-2923
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number ED008382
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According to our database, Dr. Edwin L Delange D.O. PC NPI is 1073510723, taxonomy code is 207Q00000X and license number is ED008382, license state is located at Michigan. Edwin L Delange D.O. PC physically located at 3273 Davison Rd, Lapeer MI, 48446-2902. NPI Number Edwin L Delange D.O. PC has the Individual type.

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1073510723 NPI number is provided on an as is basis without warranty of any kind. 1073510723 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin L Delange D.O. PC are for informational purposes only.