Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ALAN WADE, MD
Active Sole ProprietorDR. MARK ALAN WADE, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in FAIRBANKS, Alaska. NPI 1356307458 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · FAIRBANKS, AK
Registration Details
- NPI Number
- 1356307458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.336042011189 yrs)
- Last Updated
- Apr 18, 2013
- Licenses
-
4018 (AK)4018 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2310 PEGER RDSTE 105FAIRBANKS, AK, 997095315Browse AK providers · Browse ZIP 99709
- Phone
- 9074792663
- Fax
- 9074792691
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.