Walter Max Adam MD

NPI 1053368860 - Family Medicine - 207Q00000X

NPI Details
NPI 1053368860
Gender Male
Enumeration Date 05/27/2006
Last Updated 02/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
307 W GABRIEL ST
ADVANCE MO, 63730-8301, US
Phone (573) 722-3034
Fax (573) 722-3244
Business Location
907 STONEBRIDGE DR
CAPE GIRARDEAU MO, 63701-9544, US
Phone (801) 556-5378
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 2011024400
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According to our database, Dr. Walter Max Adam MD NPI is 1053368860, taxonomy code is 207Q00000X and license number is 2011024400, license state is located at Missouri. Walter Max Adam MD physically located at 307 W Gabriel St, Advance MO, 63730-8301. NPI Number Walter Max Adam MD has the Individual type.

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1053368860 NPI number is provided on an as is basis without warranty of any kind. 1053368860 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Max Adam MD are for informational purposes only.