Provider Demographics
NPI:1174864383
Name:ADAMS, ANDREW M (DO)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3537 W FRONT ST STE I
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-7943
Mailing Address - Country:US
Mailing Address - Phone:231-935-8929
Mailing Address - Fax:231-935-8868
Practice Address - Street 1:3537 W FRONT ST STE I
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-7943
Practice Address - Country:US
Practice Address - Phone:231-935-8950
Practice Address - Fax:231-935-8868
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2023-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101020280207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine