Provider Demographics
NPI:1710312467
Name:TOOMEY, ADAM J (PA-C)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:TOOMEY
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:6565 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-6114
Mailing Address - Country:US
Mailing Address - Phone:269-375-0400
Mailing Address - Fax:269-372-8478
Practice Address - Street 1:6565 W MAIN ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-6114
Practice Address - Country:US
Practice Address - Phone:269-375-0400
Practice Address - Fax:269-372-8478
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2021-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601006753363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant