Individual
IAN N ADAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(877) 229-0273
(920) 288-4863
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
188623-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041071
—
WI
01
—
520177
MEDICARE NUMBER
—
Enumeration date
04/23/2012
Last updated
04/16/2026
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