WADE B WINES

FLINT, MI
NPI1952685497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006372)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: AZ  5017)
363AM0700X Physician Assistant, Medical
(Licence: MI  5601006372)
Enumeration Date2011-10-03
Last Update Date2022-12-05
Business Address
Mr. WADE B WINES PAC
4466 W BRISTOL RD
FLINT, MI 48507-3170
Phone number: 810-733-1200
Mailing Address
Mr. WADE B WINES PAC
4466 W BRISTOL RD
FLINT, MI 48507-3170
Phone number: 810-733-1200