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Matthew Edgar
NPI 1578430559 · on the registry since 2025
Practice
- Address
- 4589 Island Park Dr
Waterford Township, MI 48329 - Phone
- (810) 358-8233
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan