Individual
ADAM DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4511 LAKEVIEW CT, BLOOMFIELD HILLS, MI 48301-1412
(313) 671-4031
Mailing address
4511 LAKEVIEW CT, BLOOMFIELD HILLS, MI 48301-1412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT020296
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
04/09/2020
Last updated
06/26/2020
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