Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edwina Stallworth

Individual provider Technician/Technologist · NPI 1962007344

Edwina Stallworth is a Technician/Technologist in Dearborn, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Phone: (313) 406-5056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1962007344
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2020
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address19853 Outer Dr Ste 110, Dearborn, MI 48124-2044

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