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Brian Wade
NPI 1306255187 · on the registry since 2014 · sole proprietor
Practice
- Address
- 350 W North St
Gaylord, MI 49735 - Phone
- (989) 732-6455
- Organisation at this address
- Jeffrey K Chaulk Md Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-15
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