Individual
JENNA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 805-6980
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 805-6980
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
74881
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
74881
WI
Other
Enumeration date
04/23/2016
Last updated
06/22/2021
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