Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 01082655A | IN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 4301114217 | MI |
NPI | 1801235429 |
---|---|
Provider Name | Adam Michael Huff |
First Address | Indianapolis, IN 46250-2890 |
Second Address | Indianapolis, IN 46219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2013 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300028839 | (05) | IN |