Individual
WADE CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A167390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01739501
—
MS
Enumeration date
03/27/2015
Last updated
09/28/2022
Update your record
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