| NPI | 1225017817 |
|---|---|
| Professional Name | WADE WALLACE WILDE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.074229) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101232539) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2026-03-09 |