Provider Demographics
NPI:1134361215
Name:ADIX, MICHAEL LEE II (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEE
Last Name:ADIX
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:1535 GULL RD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-1650
Mailing Address - Country:US
Mailing Address - Phone:269-553-0580
Mailing Address - Fax:269-388-6360
Practice Address - Street 1:1535 GULL RD
Practice Address - Street 2:SUITE #200
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-1650
Practice Address - Country:US
Practice Address - Phone:269-553-0580
Practice Address - Fax:269-388-6360
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2018-05-09
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Provider Licenses
StateLicense IDTaxonomies
MA2625542085N0700X
MI43010951302085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology