Individual
NICHOLAS J ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5215 HOLY CROSS PKWY # IN46545, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01087998A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301116001
MI
Other
Enumeration date
06/20/2018
Last updated
08/10/2022
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