Individual
NOEMI ADAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
921 N LAKE SHORE DR, CULVER, IN 46511-1207
(574) 335-7750
(574) 335-0730
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01075665A
IN
208000000X
Pediatrics Physician
5414460-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176666901
—
TX
01
—
176666902
CIDC
—
Enumeration date
10/04/2006
Last updated
12/31/2019
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