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Individual

DR. MICHAEL BRIAN ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 275-3325
Mailing address
8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45177
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34452100
WI
05
383617700
MN
Enumeration date
12/22/2005
Last updated
03/08/2021
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