MARK WADE, OD

Optometrist

Active Individual
NPI: 1104814631

Practice Address

2700 W COLLEGE AVE
Appleton, WI 54914

Phone: (920) 735-9580

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 2210 (WI)

Frequently Asked Questions

NPI 1104814631 is the National Provider Identifier for MARK WADE, OD, a Optometrist provider located in Appleton, WI. This NPI was enumerated on October 10, 2005.
MARK WADE, OD practices at 2700 W COLLEGE AVE, Appleton, WI 54914.

Quick Facts

NPI
1104814631
Type
Individual
Enumerated
Oct 10, 2005
Last Updated
Aug 4, 2023

Nearby Providers