MEDICARE: ERIC ADAR 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
1	207P00000X	Emergency Medicine Physician	01060534	IN
2	207P00000X	Emergency Medicine Physician	49959-20	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255325726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC ADAR MD

Provider Business Mailing Address
First Line	:	6024 N LAKE DR
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-4646
Country	:	US
Telephone Number	:	414-671-9833
Fax Number	:	866-504-7468

Provider Business Practice Location Address
First Line	:	6024 N LAKE DR
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-4646
Country	:	US
Telephone Number	:	414-671-9833
Fax Number	:	866-504-7468

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	10/23/2013

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Directions to “ ERIC ADAR MD” Practice Location

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