Individual
JOHN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-8712
(231) 935-8708
Mailing address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-8712
(231) 935-8708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JA002351
BLUE CROSS
MI
Enumeration date
10/26/2006
Last updated
07/09/2007
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