Individual
ADAM J BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
900 NICOLLET MALL, TARGET CLINIC, MINNEAPOLIS, MN 55403-2530
(612) 338-0085
(612) 333-1026
Mailing address
3906 THOMAS AVE S, APARTMENT 4, MINNEAPOLIS, MN 55410-1236
(612) 590-4866
(612) 333-1026
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
PA810
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403180099
—
ME
Enumeration date
10/28/2005
Last updated
07/08/2007
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