MS. Myra Edwards, MT

NPI #1871032615 in Woodruff, Wisconsin

Provider Information

NPI Number: 1871032615
Entity Type: Individual
Name: MS. Myra Edwards, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MT
Enumeration Date: Feb 13, 2017
Last Updated: Feb 13, 2017

Practice Location

Address: 103 ELM ST
Address 2: 2ND FLOOR
City: Woodruff
State: Wisconsin
ZIP Code: 54568-9164
Phone: (715) 358-6650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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