Provider Demographics
NPI:1366632648
Name:ADEM, HAMZA BUSHRA (DC)
Entity Type:Individual
Prefix:DR
First Name:HAMZA
Middle Name:BUSHRA
Last Name:ADEM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 UNIVERSITY AVE SE STE 200
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-4204
Mailing Address - Country:US
Mailing Address - Phone:612-331-6800
Mailing Address - Fax:
Practice Address - Street 1:2800 UNIVERSITY AVE SE STE 200
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-4204
Practice Address - Country:US
Practice Address - Phone:612-331-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor