Individual
JUDI GAIL WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
39161 SHORELINE DR, HARRISON TOWNSHIP, MI 48045-1799
(586) 944-1052
Mailing address
39161 SHORELINE DR, HARRISON TOWNSHIP, MI 48045-1799
(586) 944-1052
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704155759
MI
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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