Dr. Edward Alexander Perez-Conde, M.D.
Military Health Care Provider in Iron Mountain, MI. Individual provider (NPI-1).
NPI number1124095591
StatusActive
Last updated in NPPESJul 10, 2012
Details
- NPI
- 1124095591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Alexander Perez-Conde
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2006
- Last updated
- Jul 10, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | 4301071310 | MI | Yes |
| 207P00000X | Emergency Medicine | 4301071310 | MI |
Practice location
325 E H StIron Mountain, MI 49801-4760
Phone 906-774-3300
Mailing address
Po Box 549Iron Mountain, MI 49801-0549
Phone 906-774-1313 · Fax 906-776-5639
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