Provider Demographics
NPI:1285877639
Name:MCADAM, MICHAEL MARSHALL (IDMT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:MARSHALL
Last Name:MCADAM
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Gender:M
Credentials:IDMT
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Mailing Address - Street 1:304 PITSENBARGER BLVD
Mailing Address - Street 2:22 STS/DOOM
Mailing Address - City:MCCHORD AFB
Mailing Address - State:WA
Mailing Address - Zip Code:98438-1201
Mailing Address - Country:US
Mailing Address - Phone:253-982-9950
Mailing Address - Fax:253-982-5716
Practice Address - Street 1:304 PITSENBARGER BLVD
Practice Address - Street 2:22 STS/DOOM
Practice Address - City:MCCHORD AFB
Practice Address - State:WA
Practice Address - Zip Code:98438-1201
Practice Address - Country:US
Practice Address - Phone:253-982-9950
Practice Address - Fax:253-982-5716
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians