Individual
DR. WADE WALLACE WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7133
(757) 953-7560
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101232539
VA
208000000X
Pediatrics Physician
18724
NE
208000000X
Pediatrics Physician
Primary
35.074229
OH
Other
Enumeration date
01/11/2006
Last updated
03/09/2026
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