| Organization Name: | ASL MEDICAL PC |
| NPI Number: | 1093901993 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWIN T. PEARCE (OWNER/PROVIDER) |
| Mailing Address: | 42627 Garfield Rd Suite 213 Clinton Township |
| State: | MI US |
| Postal Code: | 480385032 |
| Phone Number: | 7343471462 |
| Fax Number: | 8104584187 |
| NPI Enumeration Date: | 09/25/2007 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301021837 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |