Individual
DR. ADAM JOSEPH RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 780-2324
(616) 431-2407
Mailing address
412 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 780-2324
(616) 431-2407
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.087412
OH
208000000X
Pediatrics Physician
4301091218
MI
208000000X
Pediatrics Physician
MD421021
PA
208100000X
Physical Medicine & Rehabilitation Physician
35.087412
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301091218
MI
208100000X
Physical Medicine & Rehabilitation Physician
MD421021
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012379200002
—
PA
05
—
2658922
—
OH
Enumeration date
06/26/2006
Last updated
08/02/2019
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