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NPI Code Detail

MEDICARE: DR. DENNIS VAL ADAM DC

MEDICARE: DR. DENNIS VAL ADAM DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor002534MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
297150170OTHERWIWAUSAU
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4950B25006OTHERMIBCBSM

General Provider Information

NPI Number : 1417950676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS VAL ADAM DC
Provider Business Mailing Address
First Line : 200 FAIRBANKS ST
Second Line : # S1
City : IRON MOUNTAIN
State : MI
Zip : 49801-1510
Country : US
Telephone Number : 906-774-5824
Fax Number : 906-774-6349
Provider Business Practice Location Address
First Line : 200 FAIRBANKS ST
Second Line : # S1
City : IRON MOUNTAIN
State : MI
Zip : 49801-1510
Country : US
Telephone Number : 906-774-5824
Fax Number : 906-774-6349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/31/2008

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Directions to “ DR. DENNIS VAL ADAM DC” Practice Location

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