Provider Demographics
NPI:1194923383
Name:BLOEMKE, ADAM D (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:D
Last Name:BLOEMKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8100 W 78TH ST STE 225
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2569
Mailing Address - Country:US
Mailing Address - Phone:952-946-9777
Mailing Address - Fax:952-946-9888
Practice Address - Street 1:11850 BLACKFOOT ST NW STE 450
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-2773
Practice Address - Country:US
Practice Address - Phone:763-236-0800
Practice Address - Fax:763-236-0910
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2020-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN49284207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery