Individual
DR. JENNIFER SUZANNE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
175 COUNTY ROAD 6 W, ELKHART, IN 46514-5557
(574) 266-7465
(574) 266-7467
Mailing address
4024 ELKHART RD, STE 23, GOSHEN, IN 46526-5803
(574) 273-9233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002937
IN
Other
Enumeration date
09/21/2006
Last updated
03/23/2017
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