SearchMichigan164W00000X

Elizabeth Wade

NPI 1043640105 · on the registry since 2013 · sole proprietor

Practice

Address
3108 Thornridge Dr
Grand Blanc, MI 48439
Phone
(989) 590-3554

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan