Individual
DR. MICHAEL G WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(303) 338-4545
Mailing address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29975
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006369
KAISER-COMMERCIAL NUMBER
—
05
—
01299759
—
CO
Enumeration date
03/22/2007
Last updated
05/29/2014
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