Individual
DR. MARK D. ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29402-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050031223
RAIL ROAD MEDICARE
—
05
—
31686600
—
WI
Enumeration date
12/22/2005
Last updated
01/23/2009
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