WADE CARLSON

PEORIA, IL
NPI1275557498
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036101444)
Enumeration Date2006-07-27
Last Update Date2012-10-12
Business Address
Dr. WADE CARLSON MD
5114 N GLEN PARK PLACE RD
PEORIA, IL 61614-4686
Phone number: 309-683-6600
Mailing Address
Dr. WADE CARLSON MD
5114 N GLEN PARK PLACE RD
PEORIA, IL 61614-4686
Phone number: 309-683-6600
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