Individual
DR. REGINALD DWAYNE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-5600
(262) 687-5621
Mailing address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-5600
(262) 687-5621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45816-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43507000
—
WI
01
—
45816-021
LICENSE
WI
Enumeration date
06/30/2006
Last updated
09/18/2025
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