Individual
ADAM JOHN HISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8501 MEADOW CRK, ROCKFORD, MI 49341-7524
(616) 267-7884
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704240205
MI
Other
Enumeration date
09/23/2016
Last updated
01/03/2022
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