Individual
MR. ADAM MICHAEL CARRUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2222 CHERRY ST, MOB 2 SUITE 1250, TOLEDO, OH 43608-2673
(419) 251-3180
(419) 251-3849
Mailing address
2200 JEFFERSON AVE, 5TH FL, TOLEDO, OH 43604-7101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
103109
NC
363A00000X
Physician Assistant
Primary
50003214
OH
363AS0400X
Surgical Physician Assistant
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071009
—
OH
Enumeration date
06/15/2006
Last updated
02/21/2025
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