Individual
DR. MICHAEL W ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-4690
(406) 455-4752
Mailing address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 273-3361
(618) 273-2571
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036103160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103160 1
—
IL
01
—
10027682
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
08/26/2005
Last updated
07/27/2015
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