DR. Lydia M Wade, M.D.

NPI #1992926893 in St Cloud, Minnesota

Provider Information

NPI Number: 1992926893
Entity Type: Individual
Name: DR. Lydia M Wade, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: M.D.
Enumeration Date: May 1, 2007
Last Updated: Nov 11, 2009

Practice Location

Address: 1900 CENTRA CARE CIRCLE
Address 2: CENTRA CARE CLINIC - WOMEN'S & CHILDRENS
City: St Cloud
State: Minnesota
ZIP Code: 56303-5000
Phone: (320) 654-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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