Individual
DR. JACQUELINE KATE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(375) 224-7239
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 522-4723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30360
NE
Other
Enumeration date
03/17/2016
Last updated
05/03/2024
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