Individual
DWAYNE C ADRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 W NORTH ST, MUNCIE, IN 47303-3415
(765) 281-6920
(765) 284-6151
Mailing address
1200 W WHITE RIVER BLVD, RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
(765) 254-4009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034541A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106750A
—
IN
05
—
100106750E
—
IN
Enumeration date
01/25/2006
Last updated
03/12/2021
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