Provider Demographics
NPI:1760720171
Name:ADAMS, MICHAEL ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ANDREW
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9040 FITZSIMMONS DRIVE
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA AND OPERATIVE SERVICES
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-0000
Mailing Address - Country:US
Mailing Address - Phone:253-968-2235
Mailing Address - Fax:
Practice Address - Street 1:9040 FITZSIMMONS DRIVE
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA AND OPERATIVE SERVICES
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0000
Practice Address - Country:US
Practice Address - Phone:253-968-2235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010124417207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology