Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301035720 | MI |
Y | 2080P0216X | Pediatric Rheumatologist | 4301035720 | MI |
NPI | 1962412577 |
---|---|
Provider Name | Barbara S Adams |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 01/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1634098 | (05) | MI |
E80245 | (02) |