SearchMichigan374U00000X

Mary Wade

NPI 1609231380 · on the registry since 2015 · sole proprietor

Practice

Address
175 Edgevale St
Detroit, MI 48203
Phone
(313) 461-9623

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Female
Record last updated
2015-12-22

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