Individual
BRIAN ARTHUR ADAMCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 W NORTH ST, JACKSON, MI 49202-3135
(517) 782-2555
(517) 782-3399
Mailing address
PO BOX 67000, DEPT 272801, DETROIT, MI 48267-2728
(517) 841-7490
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BA049098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120158
PHYSICIAN HEALTH PLAN
—
01
—
0153800145
BCBSM
MI
05
—
1788719
—
MI
Enumeration date
07/20/2006
Last updated
12/09/2011
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