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NPI Code Detail

MEDICARE: DR. MICHAEL HENRY ADLING D.O.

MEDICARE: DR. MICHAEL HENRY ADLING D.O.
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
1207Q00000XFamily Medicine PhysicianOP60556919WA

General Provider Information

NPI Number : 1669811139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL HENRY ADLING D.O.
Provider Business Mailing Address
First Line : 520 N 4TH AVE
Second Line :
City : PASCO
State : WA
Zip : 99301-5257
Country : US
Telephone Number : 509-416-8888
Fax Number : 509-545-6275
Provider Business Practice Location Address
First Line : 701 DALE AVE
Second Line :
City : BENTON CITY
State : WA
Zip : 99320-5250
Country : US
Telephone Number : 509-588-3911
Fax Number : 509-588-4197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2013
Last Update Date : 07/02/2024

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