Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDGAR MAEYENS, MD
Active Sole ProprietorEDGAR MAEYENS, MD is a Obesity Medicine healthcare provider located in COOS BAY, Oregon. NPI 1871574947 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · COOS BAY, OR
Registration Details
- NPI Number
- 1871574947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2005 (20.793280602942 yrs)
- Last Updated
- Dec 5, 2017
- License
-
MD08528 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
375 PARK AVESUITE 5COOS BAY, OR, 974202242Browse OR providers · Browse ZIP 97420
- Phone
- 5412677543
- Fax
- 5412672076
- Primary Specialty
-
Obesity Medicine
207ND0101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.