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Individual

DR. ADAM GREGORY WILBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
379 COLLEGE ST, AMHERST, MA 01002-2391
(413) 253-2520
Mailing address
379 COLLEGE ST, AMHERST, MA 01002-2391
(413) 253-2520

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2775
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2775
STATE LICENSE NUMBER
MA
01
Y36984
BCBS OF MA
MA
Enumeration date
01/24/2006
Last updated
07/08/2007
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