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NPI Code Detail

MEDICARE: YOLANDA C EDLER M.D.

MEDICARE: YOLANDA C EDLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician4301057513MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023125622
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA C EDLER M.D.
Provider Business Mailing Address
First Line : 1375 R DALE WERTZ DR
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1365
Country : US
Telephone Number : 989-269-9293
Fax Number :
Provider Business Practice Location Address
First Line : 1375 R DALE WERTZ DR
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1365
Country : US
Telephone Number : 989-269-9293
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 06/26/2019

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Directions to “ YOLANDA C EDLER M.D.” Practice Location

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