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Individual
TIM GARDINER ADAMS JR.
Active
Individual
TIM GARDINER ADAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16918
ND
207Q00000X
Family Medicine Physician
4301405797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108290702
BCBS
MI
05
—
10-2716296
—
MI
05
—
10-2784732
—
MI
05
—
10-2796448
—
MI
05
—
10-4104522
—
MI
05
—
10-4104531
—
MI
05
—
10-4104540
—
MI
05
—
10-4211371
—
MI
05
—
10-4211380
—
MI
Enumeration date
01/03/2006
Last updated
02/03/2026
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