Provider Demographics
NPI:1346653565
Name:ERDEM, ABID (MD)
Entity Type:Individual
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First Name:ABID
Middle Name:
Last Name:ERDEM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3601 W 13 MILE RD
Mailing Address - Street 2:5CE PEDIATRIC RESIDENCY OFFICE
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6712
Mailing Address - Country:US
Mailing Address - Phone:248-551-2040
Mailing Address - Fax:248-898-9677
Practice Address - Street 1:3601 W 13 MILE RD
Practice Address - Street 2:5CE PEDIATRIC RESIDENCY OFFICE
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6712
Practice Address - Country:US
Practice Address - Phone:248-551-2040
Practice Address - Fax:248-898-9677
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
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Provider Licenses
StateLicense IDTaxonomies
MI4301105534208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics