Michael Adera
Physician Assistant, Medical in Bowie, MD. Individual provider (NPI-1).
NPI number1205461746
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1205461746
- Entity type
- Individual (NPI-1)
- Name
- Michael Adera
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2020
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | C0007470 | MD | Yes |
Practice location
12701 Truths Promise CtBowie, MD 20720-5600
Phone 443-388-7168
Mailing address
12701 Truths Promise CtBowie, MD 20720-5600
Phone 443-388-7168
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