Individual
EDWARD L ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 746-7521
(701) 795-2553
Mailing address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 746-7521
(701) 795-2553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ADA-23242
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10012
—
ND
01
—
26734
BCBS
ND
01
—
624K9AD
BCBS
MN
01
—
A011
TRICARE
ND
01
—
P00324744
RR MEDICARE
ND
Enumeration date
05/31/2006
Last updated
12/28/2007
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