Individual
DR. MARK T ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11055 TWIN CREEKS CV, FORT WAYNE, IN 46845-2204
(260) 425-6120
(260) 425-6115
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01030200A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083931
ANTHEM HEALTH
—
05
—
100319900
—
IN
01
—
234172
HARMONY HEALTH
IN
Enumeration date
05/13/2006
Last updated
10/20/2022
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