Wade, Thomas John

Wade, Thomas John is an individual health care provider with primary practice located at 1111 Delafield St Suite 209, Waukesha WI 53188-3403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wade, Thomas John can be contacted via phone (262) 542-0444.

Contact Information

Primary practice address
1111 Delafield St Suite 209 Waukesha WI 53188-3403
Fax: (262) 542-8214
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 54124-20 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 54124-20 Wisconsin

Profile Details

NPI number 1366615718
LBN Legal business name Wade, Thomas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366615718 NPPES
Wisconsin MEDICAID 1366615718

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