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1104814631
MARK WADE
APPLETON, WI
NPI
1104814631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 2210)
Enumeration Date
2005-10-10
Last Update Date
2023-08-04
Business Address
-- MARK WADE OD
2700 W COLLEGE AVE
APPLETON, WI 54914-2918
Phone number: 920-735-9580
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Mailing Address
-- MARK WADE OD
2700 W COLLEGE AVE
APPLETON, WI 54914-2918
Phone number: 920-735-9580
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