Individual provider · Type 1 NPI

Alysse Wade

Student in an Organized Health Care Education/Training Program · Southgate, MI

NPI number 1790562841 Active

Practice location

13101 Allen Rd Bldg 2
Southgate, MI 48195-2216

Call (734) 625-3695 Map

Mailing address

167 S Grove St Apt 108
Ypsilanti, MI 48198-5665

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1790562841

Alysse Wade's National Provider Identifier is 1790562841, issued on Sep 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southgate, MI. The record was last updated on Sep 12, 2023.