Individual
DR. MICHAEL P RADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 ORCHARD PARK RD, STE A103, WEST SENECA, NY 14224-2654
(716) 677-5500
(716) 677-5008
Mailing address
550 ORCHARD PARK RD, STE A103, WEST SENECA, NY 14224-2654
(716) 677-5500
(716) 677-5008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
128302
NY
208600000X
Surgery Physician
Primary
128302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00633743
—
NY
Enumeration date
03/09/2006
Last updated
03/23/2016
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