EDIN BASIC

CLINTON TOWNSHIP, MI
NPI1124206685
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  5101017539)
Enumeration Date2008-02-07
Last Update Date2008-02-07
Business Address
-- EDIN BASIC D.O
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3504
Phone number: 586-263-2950
Mailing Address
-- EDIN BASIC D.O
45307 NORTHPORT DR #3301
MACOMB, MI 48044-5326
Phone number:
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