# TIM GARDINER ADAMS JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023096880
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 16918 | ND | Yes |
| 207Q00000X | Family Medicine Physician | 4301405797 | MI | — |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 02/03/2026

## 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 |
