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Individual
DR. NICOLE L WADE
Active
Individual
DR. NICOLE L WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-010324
OH
207Q00000X
Family Medicine Physician
48398
WI
207Q00000X
Family Medicine Physician
Primary
DOS-1975
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058772
—
OH
05
—
43530000
—
WI
Enumeration date
03/20/2006
Last updated
11/07/2025
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