Individual
MR. MICHAEL MARSHALL MCADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
304 PITSENBARGER BLVD, 22 STS/DOOM, MCCHORD AFB, WA 98438-1201
(253) 982-9950
(253) 982-5716
Mailing address
304 PITSENBARGER BLVD, 22 STS/DOOM, MCCHORD AFB, WA 98438-1201
(253) 982-9950
(253) 982-5716
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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