Provider Demographics
NPI:1194058636
Name:WILLEMIN, ADAM WELLS (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:WELLS
Last Name:WILLEMIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 PINE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1482
Mailing Address - Country:US
Mailing Address - Phone:248-601-6100
Mailing Address - Fax:248-601-9574
Practice Address - Street 1:530 PINE ST STE 2
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1482
Practice Address - Country:US
Practice Address - Phone:248-601-6100
Practice Address - Fax:248-601-9574
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor