Individual
DR. WADE EARLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 ASHWOOD DR, TIFFIN, OH 44883-1908
(419) 448-8811
(419) 448-7418
Mailing address
60 ASHWOOD DR, TIFFIN, OH 44883-1908
(419) 448-8811
(419) 448-7418
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35050815
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0569040
—
OH
05
—
2742787
—
OH
Enumeration date
11/30/2005
Last updated
04/06/2021
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