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Dr. Edward B Miedema, MD
Specialist in Lincolnton, North Carolina
NPI 1912908765

Edward B Miedema is a Specialist based in Lincolnton, NC. Edward B Miedema practices in Lincolnton, NC and has the professional credentials of MD. The NPI Number for Edward B Miedema is 1912908765 and holds a License No. (North Carolina).

The current practice location address for Edward B Miedema is 206 Gamble Dr, Lincolnton, NC and can be reached out via phone at 704-732-4409 and via fax at 704-735-5784.

Location: 206 Gamble Dr, Lincolnton, NC, 28092-4439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912908765
Provider Name
Edward B Miedema
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
206 Gamble Dr, Lincolnton, NC, 28092-4439
Phone Number
704-732-4409
Fax Number
704-735-5784
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89135MK 05 NC
institution
Provider Business Practice Location Address Details
Address
206 Gamble Dr
City
Lincolnton
State
North Carolina
Zip
28092-4439
Phone Number
704-732-4409
Fax Number
704-735-5784
person
Provider Business Mailing Address Details
Address
206 Gamble Dr
City
Lincolnton
State
North Carolina
Zip
28092-4439
Phone Number
704-732-4409
Fax Number
704-735-5784
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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