MR. Wade B Wines, PAC

NPI #1952685497 in Flint, Michigan

Provider Information

NPI Number: 1952685497
Entity Type: Individual
Name: MR. Wade B Wines, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 3, 2011
Last Updated: Dec 5, 2022

Practice Location

Address: 4466 W BRISTOL RD
City: Flint
State: Michigan
ZIP Code: 48507-3170
Phone: (810) 733-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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