Mark Wade, OD

NPI #1104814631 in Appleton, Wisconsin

Provider Information

NPI Number: 1104814631
Entity Type: Individual
Name: Mark Wade, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 10, 2005
Last Updated: Aug 4, 2023

Practice Location

Address: 2700 W COLLEGE AVE
City: Appleton
State: Wisconsin
ZIP Code: 54914-2918
Phone: (920) 735-9580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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