Individual
MELINDA RAE WAYDE
Active
Individual
MELINDA RAE WAYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
71194-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119096
—
OH
Enumeration date
03/29/2012
Last updated
06/12/2019
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