Individual
DR. JOHN S WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
G446590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G446590
—
CA
Enumeration date
05/27/2006
Last updated
12/14/2011
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