Most Relevant Information
Provider Data
| NPI Number: | 1003448846 |
| Provider Name: | BRIANNA EDSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2020 |
| Last Updated: | 12/11/2020 |
Provider Practice Location
1200 W NORTH DOWN RIVER RD STE C
GRAYLING
MI
497388024
Practice Location Phone/Fax
| Phone: | 9893445910 |
| Fax: | 2319353463 |
Provider Mailing Location
1200 W NORTH DOWN RIVER RD STE C
GRAYLING
MI
497388024
Provider Mailing Phone/Fax
| Phone: | 9893445910 |
| Fax: | 2319353463 |