Individual
MR. DEAN HOWARD ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 14TH ST NE # A, BUFFALO, MN 55313-2927
(763) 684-3886
Mailing address
9140 TANAGER CIR, MONTICELLO, MN 55362-9303
(763) 295-2674
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1563
MN
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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