Individual
DR. DONALD WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1547 E RACINE AVE, WAUKESHA, WI 53186-6826
(262) 542-4466
Mailing address
1547 E RACINE AVE, WAUKESHA, WI 53186-6826
(262) 542-4466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
W3928
WI
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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