TINA M HALLER-WADE

ROCKFORD, IL
NPI1235175498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036121323)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MI  5101016834)
Enumeration Date2006-06-22
Last Update Date2016-11-30
Business Address
Dr. TINA M HALLER-WADE D.O.
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
Mailing Address
Dr. TINA M HALLER-WADE D.O.
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600