Individual
DR. PATRICE WADE-OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 ST. ANTIONE UHC 5F, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 832-8550
(313) 745-0940
Mailing address
1726 HOWARD ST, DETROIT, MI 48216-1921
(313) 832-3300
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
4704263609
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704263609
MI
Other
Enumeration date
09/30/2013
Last updated
01/13/2020
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