GREGORY WADE

MUNSTER, IN
NPI1386280253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010547A)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209021656)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-11-26
Last Update Date2023-03-01
Business Address
GREGORY WADE FNP-C
901 MACARTHUR BLVD
MUNSTER, IN 46321-2959
Phone number: 219-836-1600
Mailing Address
GREGORY WADE FNP-C
2907 S FORSYTHIA LN
SAINT ANNE, IL 60964-5532
Phone number: