Individual
MICHAEL J ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
408 JUNGERMANN RD, ST PETERS, MO 63376-2799
(636) 449-5757
(636) 449-5750
Mailing address
425 MONITOR WAY, SAINT CHARLES, MO 63303-8461
(636) 441-5033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6B55
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010027
MEDICARE COMPLETE
MO
01
—
108057
HEALTHLINK
MO
01
—
2287
GROUP HEALTH PLAN (GHP)
MO
05
—
241738210
—
MO
01
—
40513
HEALTHCARE USA
MO
01
—
4057727
AETNA
MO
01
—
9684
BCBS
MO
01
—
D41488
MERCY HEALTH PLANS
MO
01
—
PC10113
CIGNA
MO
Enumeration date
03/09/2006
Last updated
04/24/2008
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