JENNIFER MARIE SHADE

BEAVERCREEK, OH
NPI1801028600
Former NameJENNIFER MARIE JAWORSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: OH  35123554)
Additional Taxonomies207W00000X Ophthalmology
(Licence: MN  56584)
Enumeration Date2009-08-13
Last Update Date2014-11-04
Business Address
Dr. JENNIFER MARIE SHADE M.D.
89 SYLVANIA DR
BEAVERCREEK, OH 45440-3281
Phone number: 937-320-2020
Mailing Address
Dr. JENNIFER MARIE SHADE M.D.
89 SYLVANIA DR
BEAVERCREEK, OH 45440-3281
Phone number: 937-320-2020