Wade Wilson
Wade Wilson is a Dentist in Valparaiso, Indiana. Licensed in Indiana. Registered with an NPI since 2019.
- Licensed in
- IN
- In the registry since
- 2019
Practice location Address checks out
334 W US Highway 30 Ste GValparaiso, IN 46385-5395
Phone: (219) 464-9887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 12013223A (IN) |
|---|
Record details
| NPI number | 1629639018 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 26, 2019 |
| Last updated in NPPES | June 26, 2019 |
| Mailing address | 334 W Us Highway 30 Ste G, Valparaiso, IN 46385-5395 |
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