Provider Demographics
NPI:1306966908
Name:SEAH, ADRIAN S (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:S
Last Name:SEAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1221 SIXTH ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2701
Mailing Address - Country:US
Mailing Address - Phone:231-935-2400
Mailing Address - Fax:231-935-2424
Practice Address - Street 1:1221 SIXTH ST
Practice Address - Street 2:SUITE 306
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2701
Practice Address - Country:US
Practice Address - Phone:231-935-2400
Practice Address - Fax:231-935-2424
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2013-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
MI4301104119208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program