IndividualActive
Mark Wade, MD
NPI 1356307458 · Sports Medicine (Orthopaedic Surgery) Physician · Fairbanks, AK
Provider details
- NPI number
- 1356307458
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4018 (AK)
Practice location
2310 Peger Rd
Ste 105
Fairbanks, AK 99709-5315
Phone: (907) 479-2663
Fax: (907) 479-2691
Mailing address
2310 Peger Rd
Fairbanks, AK 99709-5315
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2013-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.