Individual
BRADLEY J ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
734 S SHOOP AVE, WAUSEON, OH 43567-1707
(419) 337-8897
(419) 337-4910
Mailing address
734 S SHOOP AVE, WAUSEON, OH 43567-1707
(419) 337-8897
(419) 337-4910
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36 002115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02037
PARAMOUNT
OH
05
—
0510807
—
OH
01
—
480001611
PALMETTO GBA RAILROAD MEDICARE
OH
01
—
605732
BUCKEYE CHP
OH
Enumeration date
06/20/2006
Last updated
10/23/2014
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