Individual
DR. THOMAS MICHAEL ADAMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1315 E COLBY ST, SUITE A, WHITEHALL, MI 49461-1283
(231) 894-9300
(231) 894-9301
Mailing address
105 W EXCHANGE ST, SPRING LAKE, MI 49456-2024
(616) 846-0620
(616) 844-6079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203050498
TAX ID
MI
01
—
383628290
TAX ID
MI
01
—
900F111560
BCBS OF MICHIGAN
MI
01
—
900F210170
BCBS OF MICHIGAN
MI
Enumeration date
07/21/2005
Last updated
02/17/2015
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