Most Relevant Information
Provider Data
| NPI Number: | 1003805268 |
| Provider Name: | ADAM MICHAEL ANDERSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 41087 |
Most Important Dates
| Enumeration Date: | 10/19/2005 |
| Last Updated: | 09/19/2016 |
Provider Practice Location
200 JEFFERSON AVE SE
GRAND RAPIDS
MI
495034502
Practice Location Phone/Fax
| Phone: | 6166855000 |
| Fax: |
Provider Mailing Location
PO BOX 3578
GRAND RAPIDS
MI
495013578
Provider Mailing Phone/Fax
| Phone: | 6166856781 |
| Fax: |