Individual
DR. CHRISTINE T WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1109 W LONG LAKE RD, SUITE 102, BLOOMFIELD TOWNSHIP, MI 48302-1967
(248) 594-0002
(248) 594-6236
Mailing address
742 ARUSHA DR, PONTIAC, MI 48341-1075
(248) 332-0154
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301072668
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4520161
—
MI
Enumeration date
08/29/2006
Last updated
06/14/2024
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