Wade Wilson
NPI 1629639018 · on the registry since 2019
Practice
- Address
- 334 W Us Highway 30 Ste G
Valparaiso, IN 46385 - Phone
- (219) 464-9887
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-26
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 Indiana