Individual
DANIEL JACK ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1813 S VAN DYKE, IMLAY CITY, MI 48444
(989) 721-9411
(989) 721-9512
Mailing address
140 MACOMB, MT CLEMENS, MI 48043
(586) 468-7370
(586) 464-1472
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003230
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944498982
—
MI
Enumeration date
01/29/2007
Last updated
07/28/2009
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