Individual
DR. SEAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET, JACKSONVILLE, FL 32214-5600
(904) 542-7365
Mailing address
1656 HIGHLAND VIEW CT, FLEMING ISLAND, FL 32003-7788
(301) 807-2790
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101255013
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2012
Last updated
08/25/2023
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