Individual
WADE WILLIAM STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 376-1611
(352) 379-2428
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 376-1611
(352) 379-2428
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
11720
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME97635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000041007
—
AL
01
—
051041007
BCBS OF ALABAMA
AL
05
—
278075500
—
FL
Enumeration date
09/15/2005
Last updated
05/07/2013
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