Individual
STENNETH G ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
442 W HIGH ST STE 3, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35096886
OH
208600000X
Surgery Physician
M6972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3147071
—
OH
01
—
4319311
MEDICARE PTAN
OH
Enumeration date
06/02/2006
Last updated
10/10/2022
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