Individual
DR. GEORGEANN STEVERMER WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2044 15TH AVE., CAMERON, WI 54822-4400
(715) 458-3937
Mailing address
2044 15TH AVE., CAMERON, WI 54822-4400
(715) 458-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2643
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38646500
—
WI
Enumeration date
09/27/2006
Last updated
01/30/2009
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