Provider Demographics
NPI:1366673832
Name:ALBERDING, EMIL JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:JOSEPH
Last Name:ALBERDING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6252 BAYWATER LN
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-9768
Mailing Address - Country:US
Mailing Address - Phone:269-344-3851
Mailing Address - Fax:
Practice Address - Street 1:6252 BAYWATER LN
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MI
Practice Address - Zip Code:49083-9768
Practice Address - Country:US
Practice Address - Phone:269-344-3851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-01
Last Update Date:2009-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301033396207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine