Provider Demographics
NPI:1114906823
Name:ADAMSON, ANGELA KAYE (DO, MA)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:KAYE
Last Name:ADAMSON
Suffix:
Gender:F
Credentials:DO, MA
Other - Prefix:
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Mailing Address - Street 1:235 E CHICAGO ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1783
Mailing Address - Country:US
Mailing Address - Phone:517-278-6411
Mailing Address - Fax:517-278-4331
Practice Address - Street 1:235 E CHICAGO ST
Practice Address - Street 2:SUITE 2
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1783
Practice Address - Country:US
Practice Address - Phone:517-278-6411
Practice Address - Fax:517-278-4331
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101013510207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4198064Medicaid
MI0N10620Medicare PIN
MIG87203Medicare UPIN
MI4198064Medicaid