Individual
GRANT ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 DUPONT COMMERCE CT, FORT WAYNE, IN 46825-2393
(260) 490-7337
Mailing address
2810 DUPONT COMMERCE CT, FORT WAYNE, IN 46825-2393
(260) 490-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01094082A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2021
Last updated
08/29/2024
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