Wayde, Melinda Rae

Wayde, Melinda Rae is an individual health care provider with primary practice located at 411 Westwood Dr , Wausau WI 54401-4152. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Wayde, Melinda Rae can be contacted via phone (715) 847-2558.

Contact Information

Primary practice address
411 Westwood Dr Wausau WI 54401-4152
Phone: (715) 847-2558
Fax: (715) 261-6452
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 71194-20 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1063788503
LBN Legal business name Wayde, Melinda Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Jun 12th, 2019 - about 5 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 1063788503 NPPES
Ohio MEDICAID 0119096

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