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Alysse Wade
Student in an Organized Health Care Education/Training Program in Southgate, Michigan
NPI 1790562841

Alysse Wade is a Student in an Organized Health Care Education/Training Program based in Ypsilanti, MI. Alysse Wade practices in Southgate, MI. The NPI Number for Alysse Wade is 1790562841 and holds a License No. (Michigan).

The current practice location address for Alysse Wade is 13101 Allen Rd Bldg 2, Southgate, MI and can be reached out via phone at 734-625-3695.

Location: 13101 Allen Rd Bldg 2, Southgate, MI, 48198-5665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790562841
Provider Name
Alysse Wade
Credential
Provider Entity Type
Individual
Gender
Female
Address
13101 Allen Rd Bldg 2, Southgate, MI, 48198-5665
Phone Number
734-625-3695
Fax Number
Provider Enumeration Date
09/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13101 Allen Rd Bldg 2
City
Southgate
State
Michigan
Zip
48195-2216
Phone Number
734-625-3695
Fax Number
person
Provider Business Mailing Address Details
Address
13101 Allen Rd Bldg 2
City
Southgate
State
Michigan
Zip
48195-2216
Phone Number
734-625-3695
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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