Individual
MR. JAMES W ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1560 BEAM AVENUE, SUITE F, MAPLEWOOD, MN 55109-1192
(651) 773-0450
(651) 773-0458
Mailing address
1560 BEAM AVENUE, SUITE F, MAPLEWOOD, MN 55109-1192
(651) 773-0450
(651) 773-0458
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
23314
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115990
UCARE
MN
01
—
337M4AD
BLUE PLUS
MN
05
—
372073000
—
MN
01
—
P00163243
RR MEDICARE
MN
Enumeration date
06/27/2005
Last updated
02/02/2010
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