Provider Demographics
NPI:1326232414
Name:ADAMS, UNDRA MICHELLE (BS)
Entity type:Individual
Prefix:MS
First Name:UNDRA
Middle Name:MICHELLE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9547 ABINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-1001
Mailing Address - Country:US
Mailing Address - Phone:734-239-0247
Mailing Address - Fax:
Practice Address - Street 1:9547 ABINGTON AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-1001
Practice Address - Country:US
Practice Address - Phone:734-239-0247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other