Most Relevant Information
Provider Data
| NPI Number: | 1003243346 |
| Provider Name: | GINA MARIE WADE C.M.T |
| Entity Type: | Individual |
| Taxonomy Code: | 111NS0005X |
| Specialty: | Chiropractor |
| License Number: | 708 |
Most Important Dates
| Enumeration Date: | 10/01/2013 |
| Last Updated: | 10/01/2013 |
Provider Practice Location
4 1ST ST E STE 100
KALISPELL
MT
599014554
Practice Location Phone/Fax
| Phone: | 4062617528 |
| Fax: |
Provider Mailing Location
4 1ST ST E STE 100
KALISPELL
MT
599014554
Provider Mailing Phone/Fax
| Phone: | 4062617528 |
| Fax: |