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NPI Code Detail

MEDICARE: CHRISTINE ADAMCAK

MEDICARE:   CHRISTINE  ADAMCAK
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
1207Q00000XFamily Medicine Physician34003415OH

General Provider Information

NPI Number : 1376580191
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE ADAMCAK
Provider Business Mailing Address
First Line : PO BOX 951603
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 477 COOPER RD
Second Line : 200
City : WESTERVILLE
State : OH
Zip : 43081-8053
Country : US
Telephone Number : 614-898-5690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 12/05/2007

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Directions to “ CHRISTINE ADAMCAK ” Practice Location

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