DR. Jennifer Suzanne Wade, O.D.

NPI #1174622856 in Elkhart, Indiana

Provider Information

NPI Number: 1174622856
Entity Type: Individual
Name: DR. Jennifer Suzanne Wade, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 21, 2006
Last Updated: Mar 23, 2017

Practice Location

Address: 175 COUNTY ROAD 6 W
City: Elkhart
State: Indiana
ZIP Code: 46514-5557
Phone: (574) 266-7465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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