Individual
DR. GEORGE ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 PARK GLEN ROAD, SUITE 160, SAINT LOUIS PARK, MN 55416-4888
(952) 767-7771
(952) 767-7774
Mailing address
4500 PARK GLEN ROAD, SUITE 160, SAINT LOUIS PARK, MN 55416-4888
(952) 767-7771
(952) 767-7774
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36061
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227225300
—
MN
Enumeration date
11/20/2006
Last updated
04/02/2012
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