Individual
DR. ADAM NAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7540 22ND AVE, KENOSHA, WI 53143-5702
(262) 656-7800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 656-7800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18058
WI
207Q00000X
Family Medicine Physician
Primary
75767
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176677
—
WI
Enumeration date
07/21/2015
Last updated
07/11/2023
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