Provider Demographics
NPI:1902066780
Name:ADAMS, CORY J (MD)
Entity Type:Individual
Prefix:
First Name:CORY
Middle Name:J
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
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Mailing Address - Street 1:N20W29872 GLEN COVE RD
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-4817
Mailing Address - Country:US
Mailing Address - Phone:920-279-0993
Mailing Address - Fax:
Practice Address - Street 1:945 N 12TH STREET
Practice Address - Street 2:AURORA HEALTH CARE #3858
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53201-0342
Practice Address - Country:US
Practice Address - Phone:920-279-0993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-14
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI53996-20207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology