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Individual
MICHAEL T ADAMS
Active
Individual
MICHAEL T ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ACNP, FNP, CEN,
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2005500339NP/40NP
OR
363L00000X
Nurse Practitioner
Primary
4704321379
MI
363L00000X
Nurse Practitioner
R54642
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A022
TRICARE
NM
Enumeration date
06/05/2006
Last updated
10/26/2016
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