Individual
NANCY JANE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6190 HOSPITAL DR, CASS CITY, MI 48726-1072
(989) 872-8503
(989) 872-1546
Mailing address
6190 HOSPITAL DR, CASS CITY, MI 48726-1072
(989) 872-8503
(989) 872-1546
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NW076446
MI
208D00000X
General Practice Physician
4301076446
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4548322
—
MI
Enumeration date
07/07/2005
Last updated
04/01/2021
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