Organization
BEAUDOIN & WADE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CRAWFORD WADE O.D. (MANAGING MEMBER)
(920) 735-9580
Entity
Organization
Contact information
Practice address
2600 W COLLEGE AVE, SUITE #1, APPLETON, WI 54914-4200
(920) 735-9580
(920) 735-9886
Mailing address
2600 W COLLEGE AVE, SUITE #1, APPLETON, WI 54914-4200
(920) 735-9580
(920) 735-9886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2210
WI
152W00000X
Optometrist
2226
WI
Other
Enumeration date
09/03/2008
Last updated
09/22/2022
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