Individual
ADAM T KANDULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 S WASHINGTON AVE FL 2, SAGINAW, MI 48601
(989) 753-5300
(989) 753-5099
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 753-5300
(989) 753-5099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AK067829
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0730789
BCBS OF MICHIGAN
MI
01
—
0800910121
BLUE CROSS BLUE SHIELD
MI
01
—
0986021
HEALTH PLUS
MI
05
—
4524151
—
MI
Enumeration date
08/03/2006
Last updated
04/06/2021
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