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NPI Code Detail

MEDICARE: MR. JAMES W ADAMS MD

MEDICARE: MR. JAMES W ADAMS MD
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician23314MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00163243OTHERMNRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2115990OTHERMNUCARE
3337M4ADOTHERMNBLUE PLUS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700882495
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES W ADAMS MD
Provider Business Mailing Address
First Line : 1560 BEAM AVENUE
Second Line : SUITE F
City : MAPLEWOOD
State : MN
Zip : 55109-1192
Country : US
Telephone Number : 651-773-0450
Fax Number : 651-773-0458
Provider Business Practice Location Address
First Line : 1560 BEAM AVENUE
Second Line : SUITE F
City : MAPLEWOOD
State : MN
Zip : 55109-1192
Country : US
Telephone Number : 651-773-0450
Fax Number : 651-773-0458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 02/02/2010

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