Individual
MR. JED W ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1415 SAINT FRANCIS AVE, ANESTHESIOLOGY, PRIOR LAKE, MN 55379-3374
(952) 402-9499
Mailing address
14210 COYOTE CIR, PRIOR LAKE, MN 55372-3257
(952) 402-9499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 138790-0
MN
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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