Individual
MICHAEL B ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916-1810
(865) 766-6870
(865) 766-0133
Mailing address
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916-1810
(865) 766-6870
(865) 766-0133
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010035601
—
VA
01
—
266808
ANTHEM BCBS
VA
05
—
3001446
—
TN
01
—
4064904
BCBS
TN
05
—
64071525
—
KY
01
—
P00010086
PGBA (RR MEDICARE)
—
01
—
RO7104
JOHN DEERE
TN
Enumeration date
08/09/2005
Last updated
07/23/2015
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