| Mikala Wade, | |
|
212 S 12th Ave, Beech Grove, IN 46107-1717 | |
| (317) 724-3228 | |
| Not Available |
| Full Name | Mikala Wade |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine - Sports Medicine |
| Location | 212 S 12th Ave, Beech Grove, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518647312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083S0010X | Preventive Medicine - Sports Medicine | 1230965914 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mikala Wade, 212 S 12th Ave, Beech Grove, IN 46107-1717 Ph: (317) 724-3228 | Mikala Wade, 212 S 12th Ave, Beech Grove, IN 46107-1717 Ph: (317) 724-3228 |
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