Provider Demographics
NPI:1972189728
Name:TRAUD, ADAM JAMES (CRNA)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:JAMES
Last Name:TRAUD
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:205 N EAST AVE
Mailing Address - Street 2:ATTN: ANESTHESIA DEPT
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1753
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:205 N EAST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1753
Practice Address - Country:US
Practice Address - Phone:517-205-7836
Practice Address - Fax:517-205-7660
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
MI4704318280367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program