Individual
HEATHER M ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-7578
Mailing address
12800 WARM CREEK DR, DEWITT, MI 48820-7865
(517) 881-7887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301076471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011958
HEALTH ADVANTAGE
MI
01
—
3503311012
BLUE CROSS BLUE SHIELD
MI
01
—
350C361520
BLUE CHOICE
MI
05
—
4587483
—
MI
01
—
7500035
PHYSICIANS HEALTH PLAN
MI
01
—
7570042
PHYS HEALTH PLAN MEDICAID
MI
Enumeration date
01/06/2006
Last updated
01/30/2019
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