Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301090600 | MI |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | E-7148 | AR |
N | 2081P2900X | Pain Medicine | 4301090600 | MI |
NPI | 1124225255 |
---|---|
Provider Name | Dr. Carlo E Adams |
First Address | Troy, MI 48098-2710 |
Second Address | Grosse Pointe Woods, MI 48236-1388 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 17/09/2021 |