Adam Wade Podratz, DDS

NPI #1124029913 in Minneapolis, Minnesota

Provider Information

NPI Number: 1124029913
Entity Type: Individual
Name: Adam Wade Podratz, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 3, 2005
Last Updated: Jul 30, 2014

Practice Location

Address: 5201 BLOOMINGTON AVE
City: Minneapolis
State: Minnesota
ZIP Code: 55417-1819
Phone: (612) 721-6233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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