J EDSON PONTES

DETROIT, MI
NPI1285681981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: MI  4301031303)
Enumeration Date2006-05-28
Last Update Date2020-04-30
Business Address
J EDSON PONTES MD
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number: 800-527-6266
Mailing Address
J EDSON PONTES MD
400 MACK BLVD STE 2 WEST CREDENTIALING DEPT
DETROIT, MI 48201-2153
Phone number: 313-448-9006
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