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NPI Code Detail

MEDICARE: ADAM L GOBLE

MEDICARE:   ADAM L GOBLE
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
1175T00000XPeer SpecialistMI

General Provider Information

NPI Number : 1710829460
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM L GOBLE
Provider Business Mailing Address
First Line : 1106 WASHINGTON AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5708
Country : US
Telephone Number : 989-894-2991
Fax Number :
Provider Business Practice Location Address
First Line : 1106 WASHINGTON AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5708
Country : US
Telephone Number : 989-894-2991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ ADAM L GOBLE ” Practice Location

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