Tami Brianna Wade CMT

NPI 1073780243 - Specialist - 174400000X

NPI Details
NPI 1073780243
Gender Female
Enumeration Date 05/15/2008
Last Updated 05/15/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
221 E GREEN BAY AVE
SAUKVILLE WI, 53080-2006, US
Phone (262) 284-0022
Fax (262) 268-0715
Business Location
224 N MAIN ST
CEDAR GROVE WI, 53013-1313, US
Phone (262) 284-0022
Fax (262) 268-0715
Toxanomy
Taxonomy Code 174400000X
License State Wisconsin
License Number CMT 3708-046
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According to our database, Mrs. Tami Brianna Wade CMT NPI is 1073780243, taxonomy code is 174400000X and license number is CMT 3708-046, license state is located at Wisconsin. Tami Brianna Wade CMT physically located at 221 E Green Bay Ave, Saukville WI, 53080-2006. NPI Number Tami Brianna Wade CMT has the Individual type.

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1073780243 NPI number is provided on an as is basis without warranty of any kind. 1073780243 is maintained by the National Plan & Provider Enumeration System. The contents of Tami Brianna Wade CMT are for informational purposes only.