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NPI Code Detail

MEDICARE: ADAM BIRCH

MEDICARE:   ADAM  BIRCH
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
1225100000XPhysical Therapist13663MN

General Provider Information

NPI Number : 1194656884
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM BIRCH
Provider Business Mailing Address
First Line : 2017 NET WAY NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-5147
Country : US
Telephone Number : 218-333-5926
Fax Number :
Provider Business Practice Location Address
First Line : 2017 NET WAY NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-5147
Country : US
Telephone Number : 218-333-5926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ ADAM BIRCH ” Practice Location

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