Edelman, Brian L

Edelman, Brian L is an individual health care provider with primary practice located at 44405 Woodward Ave , Pontiac MI 48341-5023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Edelman, Brian L can be contacted via phone (248) 858-3190.

Contact Information

Primary practice address
44405 Woodward Ave Pontiac MI 48341-5023
Phone: (248) 858-3190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 077513 Michigan

Profile Details

NPI number 1922053537
LBN Legal business name Edelman, Brian L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jun 14th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922053537 NPPES
Michigan Other P00267382 RR MCR
Michigan MEDICAID 4753870 RR MCR

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