Individual
MICHAEL BLAKE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4950
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
030980
NY
Other
Enumeration date
04/27/2021
Last updated
11/07/2023
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