Individual
MOLLY CLAIRE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4600 MEMORIAL DR STE 120, BELLEVILLE, IL 62226
(618) 222-1020
Mailing address
4600 MEMORIAL DR STE 120, BELLEVILLE, IL 62226-5359
(618) 222-1020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006338
—
363AS0400X
Surgical Physician Assistant
085006338
IL
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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