| Dr Bruce E Adams DO | |
|
23421 Ryan Rd Warren MI 48091-1927 | |
| (586) 756-3111 | |
| (586) 756-1921 |
| Full Name | Dr Bruce E Adams DO |
|---|---|
| Speciality | Family Medicine |
| Location | 23421 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Bruce E Adams (PRINCIPLE PHYSICIAN) |
| Authorized Official Contact | 5867563111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce E Adams DO 23421 Ryan Rd Warren MI 48091-1927 Ph: (586) 756-1921 | Dr Bruce E Adams DO 23421 Ryan Rd Warren MI 48091-1927 Ph: (586) 756-3111 |
| NPI Number | 1639177058 |
|---|---|
| Provider Enumeration Date | 07/09/2005 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639177058 | NPI | - | NPPES |
| 1015886 | Medicaid | MI | |
| 1285639856 | Other | INDIVIDUAL NPI | |
| 0855000074 | Other | BCBS FAMILY PRACTICE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101004370 (Michigan) | Primary |
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