Individual
DR. DAVID EDWARD WADE
Active
Individual
DR. DAVID EDWARD WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, MD
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
1059
AL
111NS0005X
Sports Physician Chiropractor
Primary
1059
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6213099743
FMCSA
—
Enumeration date
07/14/2005
Last updated
09/04/2019
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