Mikala Wade
NPI #1518647312 in Beech Grove, Indiana
Provider Information
- NPI Number
- 1518647312
- Entity Type
- Individual
- Name
- Mikala Wade
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Preventive Medicine - Sports Medicine
- Enumeration Date
- Jul 18, 2023
- Last Updated
- Jul 18, 2023
Practice Location
- Address
- 212 S 12TH AVE
- City
- Beech Grove
- State
- Indiana
- ZIP Code
- 46107-1717
- Phone
- (317) 724-3228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Sports Medicine — Sports Medicine |
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