Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alysse Wade

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790562841

Alysse Wade is a Student in an Organized Health Care Education/Training Program in Southgate, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

13101 Allen Rd Bldg 2
Southgate, MI 48195-2216
Phone: (734) 625-3695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790562841
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address167 S Grove St Apt 108, Ypsilanti, MI 48198-5665

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