Individual provider · Type 1 NPI

Charles Edward Adams Iv, DO

Student in an Organized Health Care Education/Training Program · Warren, MI

NPI number 1689422040 Active

Practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Call (586) 573-5059 Map

Fax (586) 573-5855

Mailing address

8209 Pimbrook Ln
Knoxville, TN 37923-6756

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689422040

Charles Edward Adams Iv, DO's National Provider Identifier is 1689422040, issued on May 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warren, MI. The record was last updated on May 10, 2024.