Individual
DR. DANIEL MICHAEL BADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8217 WICKER AVE, ST JOHN, IN 46373-8878
(219) 558-8326
(219) 558-8329
Mailing address
8217 WICKER AVE, ST JOHN, IN 46373-8878
(219) 558-8326
(219) 558-8329
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007569
IN
122300000X
Dentist
—
IL
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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