Individual
DR. WILLIAM E WADE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12 W SHERWOOD DR, SAINT LOUIS, MO 63114-5715
(314) 258-2520
(314) 427-2577
Mailing address
PO BOX 140067, SAINT LOUIS, MO 63114-0067
(314) 258-2520
(314) 427-2577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-8A01
MO
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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