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NPI Code Detail

MEDICARE: MICHAEL ADOLPH M.D.

MEDICARE: MICHAEL ADOLPH M.D.
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
1208600000XSurgery Physician35.060861OH
22086H0002XHospice and Palliative Medicine (Surgery) Physician35060861OH

Other Identifiers

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

General Provider Information

NPI Number : 1285688143
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ADOLPH M.D.
Provider Business Mailing Address
First Line : 230 N MAIN ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-1263
Country : US
Telephone Number : 937-531-3300
Fax Number :
Provider Business Practice Location Address
First Line : 230 N MAIN ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-1263
Country : US
Telephone Number : 937-531-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 04/09/2015

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