Search › Michigan › 225700000X
Edison Konan
NPI 1598476061 · on the registry since 2022
Practice
- Address
- 15450 Heatherwood
Southgate, MI 48195 - Phone
- (734) 720-2097
- Organisation at this address
- Emotional Comfortwear
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 171400000X
106S00000X
172A00000X
372600000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-08
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