Individual
DR. DANIEL E WADE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1770 W 4TH ST, ONTARIO, OH 44906-1705
(195) 202-0654
Mailing address
1770 W 4TH ST, ONTARIO, OH 44906-1705
(330) 697-6007
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
58-002731
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088074
—
OH
Enumeration date
02/04/2009
Last updated
05/12/2025
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