Brian Kenneth Wade M.D.

NPI 1013961879 - Urology - 208800000X

NPI Details
NPI 1013961879
Gender Male
Enumeration Date 05/19/2006
Last Updated 11/24/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
3485 INDEPENDENCE DR
HOMEWOOD AL, 35209-5603, US
Phone (205) 930-0920
Fax (205) 445-0115
Business Location
3485 INDEPENDENCE DR
HOMEWOOD AL, 35209-5603, US
Phone (205) 930-0920
Fax (205) 445-0115
Toxanomy
Taxonomy Code 208800000X
License State Alabama
License Number 23172
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According to our database, Brian Kenneth Wade M.D. NPI is 1013961879, taxonomy code is 208800000X and license number is 23172, license state is located at Alabama. Brian Kenneth Wade M.D. physically located at 3485 Independence Dr, Homewood AL, 35209-5603. NPI Number Brian Kenneth Wade M.D. has the Individual type.

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1013961879 NPI number is provided on an as is basis without warranty of any kind. 1013961879 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Kenneth Wade M.D. are for informational purposes only.