Marshall Wade, D.D.S

NPI 1386606937 · on the registry since 2006

Practice

Address: 1560 Beam Ave Ste E
Maplewood, MN 55109
Phone: (651) 578-7000
Fax: (651) 773-9646
Organisation at this address: My Medical Clinic Pllc
Michael Henrickson Dds
Myron Henrickson, Dds Pa
Northland Hearing Centers, Inc
Northland Hearing Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Additional practice sites

9950 Valley Creek Rd, Woodbury, MN
1420 Lake St S Ste 200, Forest Lake, MN

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

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 Minnesota