DR. Anna Michelle Edmiston, M.D.

NPI #1386055762 in Lake Villa, Illinois

Provider Information

NPI Number: 1386055762
Entity Type: Individual
Name: DR. Anna Michelle Edmiston, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: May 19, 2014
Last Updated: Jul 25, 2018

Practice Location

Address: 300 N MILWAUKEE AVE STE L
City: Lake Villa
State: Illinois
ZIP Code: 60046
Phone: (847) 356-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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