Search › Indiana › 2083S0010X
Mikala Wade
NPI 1518647312 · on the registry since 2023 · sole proprietor
Practice
- Address
- 212 S 12th Ave
Beech Grove, IN 46107 - Phone
- (317) 724-3228
Registry record
- Primary taxonomy
- 2083S0010X
2083S0010X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-18
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 Indiana