MICHAEL EDISON

EAGAN, MN
NPI1972439149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  306363)
Enumeration Date2026-06-23
Last Update Date2026-06-23
Business Address
MICHAEL EDISON LADC
3470 WASHINGTON DR STE 165
EAGAN, MN 55122-3517
Phone number: 612-326-7589
Mailing Address
MICHAEL EDISON LADC
3470 WASHINGTON DR STE 165
EAGAN, MN 55122-3517
Phone number: