Michael  P  Ederer    DO
Contract Details
Springhill Center For Rehab Medicine
Facility name
Provider ID
P000002645
NPI
1588760268
Tax ID
630967293
Effective Date
3/23/2011
Last Updated
12/12/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
95.00
Location Details
Address
3715 Dauphin Street Suite 7-A
Mobile, AL 36608
United States
County
Mobile
Phone
2514104030 (Phone)
Billing Details
Address
3715 Dauphin Street
Suite 7-A
Mobile, AL 36608
Billing Phone
2513406919
Specialty Type
Pain Management
Map
Address