Individual
JEROME M ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, DEPARTMENT OF ANESTHESIA, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
10037 SOARING EAGLE LN, MC CORDSVILLE, IN 46055-6171
(317) 335-1121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01058014A
IN
208D00000X
General Practice Physician
01058014A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000538781
ANTHEM PTAN
IN
05
—
300050791
—
IN
Enumeration date
06/07/2006
Last updated
11/21/2024
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