Dr. Edward Mark Lichten, M.D.
Obstetrics & Gynecology, Gynecology in Birmingham, MI. Individual provider (NPI-1).
NPI number1346352382
StatusActive
Last updated in NPPESMar 31, 2010
Details
- NPI
- 1346352382
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Mark Lichten
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Last updated
- Mar 31, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | EL040270 | MI | Yes |
Practice location
555 S Old Woodward AveSuite 700
Birmingham, MI 48009-6658
Phone 248-593-9999
Mailing address
555 S Old Woodward AveSuite 700
Birmingham, MI 48009-6658
Phone 248-420-8726
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