Provider Demographics
NPI:1396184859
Name:ADAMS, NICHOLAS STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:STEVEN
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3171 44TH ST S UNIT 101
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8521
Mailing Address - Country:US
Mailing Address - Phone:701-412-2400
Mailing Address - Fax:
Practice Address - Street 1:3171 44TH ST S UNIT 102
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8521
Practice Address - Country:US
Practice Address - Phone:701-412-2400
Practice Address - Fax:701-941-7606
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2023-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NDPT-16265208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty