Organization
JOHN S WADE MD INC
Active
Organization
JOHN S WADE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SHERER WADE M.D. (PRESIDENT)
(559) 436-0606
Entity
Organization
Contact information
Practice address
6067 N FRESNO ST, SUITE 101, FRESNO, CA 93710-5200
(559) 436-0606
(559) 436-4274
Mailing address
6067 N FRESNO ST, SUITE 101, FRESNO, CA 93710-5200
(559) 436-0606
(559) 436-4274
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
G44659
CA
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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