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Individual

MICHAEL T ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, ACNP, FNP, CEN,

Contact information

Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1445
(906) 483-1122
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1445
(906) 483-1122

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2005500339NP/40NP
OR
363L00000X
Nurse Practitioner
Primary
4704321379
MI
363L00000X
Nurse Practitioner
R54642
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A022
TRICARE
NM
Enumeration date
06/05/2006
Last updated
10/26/2016
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