Provider Demographics
NPI:1396233573
Name:STORTS, ADAM JEFFREY (PA-C)
Entity type:Individual
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First Name:ADAM
Middle Name:JEFFREY
Last Name:STORTS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:804 SERVICE RD STE A202
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-355-4205
Mailing Address - Fax:517-355-4202
Practice Address - Street 1:4660 S HAGADORN RD STE 600
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5383
Practice Address - Country:US
Practice Address - Phone:517-355-4205
Practice Address - Fax:517-355-4202
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2024-10-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant