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Edward Lee Pearson, NURSEPRACTITIONER
Adult Medicine Physician in Saint Louis, Michigan
NPI 1922597038

Edward Lee Pearson is an Adult Medicine Physician based in Kingsley, MI and is specialized in Adult Medicine. Edward Lee Pearson practices in Saint Louis, MI and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Edward Lee Pearson is 1922597038 and holds a License No. 4704206310 (Michigan).

The current practice location address for Edward Lee Pearson is 320 Hubbard St, Saint Louis, MI and can be reached out via phone at 989-681-6668.

Location: 320 Hubbard St, Saint Louis, MI, 49649-9289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922597038
Provider Name
Edward Lee Pearson
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
320 Hubbard St, Saint Louis, MI, 49649-9289
Phone Number
989-681-6668
Fax Number
Provider Enumeration Date
05/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704206310 01 MI NURSE PRACTITIONER SPECIALTY CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
320 Hubbard St
City
Saint Louis
State
Michigan
Zip
48880-1926
Phone Number
989-681-6668
Fax Number
person
Provider Business Mailing Address Details
Address
320 Hubbard St
City
Saint Louis
State
Michigan
Zip
48880-1926
Phone Number
989-681-6668
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
4704206310 (Michigan)
Definition
Definition to come.
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