Edwin L Delange, Do Pc | |
3273 Davison Rd Suite #2 Lapeer MI 48446-2902 | |
(810) 667-8840 | |
Not Available |
Full Name | Edwin L Delange, Do Pc |
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Speciality | Clinic/Center |
Location | 3273 Davison Rd, Lapeer, Michigan |
Authorized Official Name and Position | Edwin Lee Delange Do Pc (PHYSICIAN) |
Authorized Official Contact | 8106678840 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edwin L Delange, Do Pc 3273 Davison Rd Suite #2 Lapeer MI 48446-2902 Ph: (810) 667-8840 | Edwin L Delange, Do Pc 3273 Davison Rd Suite #2 Lapeer MI 48446-2902 Ph: (810) 667-8840 |
NPI Number | 1821394297 |
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Provider Enumeration Date | 02/02/2011 |
Last Update Date | 04/18/2011 |
Medicare PECOS PAC ID | 3779764543 |
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Medicare Enrollment ID | O20110228000196 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821394297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 5101008382 (Michigan) | Primary |
Provider Name | Edwin L Delange |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073510723 PECOS PAC ID: 4688855455 Enrollment ID: I20111229000119 |
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