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Mikala Wade
Sports Medicine (Preventive Medicine) Physician in Beech Grove, Indiana
NPI 1518647312

Mikala Wade is a Sports Medicine (Preventive Medicine) Physician based in Beech Grove, IN and is specialized in Sports Medicine. Mikala Wade practices in Beech Grove, IN. The NPI Number for Mikala Wade is 1518647312 and holds a License No. 1230965914 (Indiana).

The current practice location address for Mikala Wade is 212 S 12Th Ave, Beech Grove, IN and can be reached out via phone at 317-724-3228.

Location: 212 S 12Th Ave, Beech Grove, IN, 46107-1717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518647312
Provider Name
Mikala Wade
Credential
Provider Entity Type
Individual
Gender
Female
Address
212 S 12Th Ave, Beech Grove, IN, 46107-1717
Phone Number
317-724-3228
Fax Number
Provider Enumeration Date
07/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
212 S 12Th Ave
City
Beech Grove
State
Indiana
Zip
46107-1717
Phone Number
317-724-3228
Fax Number
person
Provider Business Mailing Address Details
Address
212 S 12Th Ave
City
Beech Grove
State
Indiana
Zip
46107-1717
Phone Number
317-724-3228
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Sports Medicine
Taxonomy
2083S0010X
License No.
1230965914 (Indiana)
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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