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1821024423
EDWARD JOHN DISTELHORST
ANNAPOLIS, MD
NPI
1821024423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MD D0022107)
Enumeration Date
2006-06-24
Last Update Date
2007-11-14
Business Address
Dr. EDWARD JOHN DISTELHORST MD
700 MELVIN AVE SUITE 7A
ANNAPOLIS, MD 21401-1514
Phone number: 410-280-2260
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Mailing Address
Dr. EDWARD JOHN DISTELHORST MD
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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