DR. Ronnie D. Wade, O. D.

NPI #1619953478 in South Bend, Indiana

Provider Information

NPI Number
1619953478
Entity Type
Individual
Name
DR. Ronnie D. Wade, O. D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O. D.
Enumeration Date
Dec 22, 2005
Last Updated
Jan 3, 2014

Practice Location

Address
810 E COLFAX AVE
State
Indiana
ZIP Code
46617-2804
Phone
(574) 287-3333

Specialties & Taxonomy Codes

Specialty
Optometrist

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