Individual
DR. ADAM MICHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
PO BOX 3578, GRAND RAPIDS, MI 49501-3578
(616) 685-6781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41087
CO
207P00000X
Emergency Medicine Physician
4301095514
MI
Other
Enumeration date
10/19/2005
Last updated
09/19/2016
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