Provider Demographics
NPI:1710398128
Name:BIEDNY, ADAM CRAIG (DO)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:CRAIG
Last Name:BIEDNY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:19229 MACK AVE STE 24
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2857
Mailing Address - Country:US
Mailing Address - Phone:313-884-5522
Mailing Address - Fax:313-884-6054
Practice Address - Street 1:11885 E 12 MILE RD STE 100A
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-3465
Practice Address - Country:US
Practice Address - Phone:586-576-1615
Practice Address - Fax:586-576-1628
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101021133207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine