IndividualActive
Alysse Wade
NPI 1790562841 · Student in an Organized Health Care Education/Training Program · Southgate, MI
Provider details
- NPI number
- 1790562841
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
13101 Allen Rd Bldg 2
Southgate, MI 48195-2216
Phone: (734) 625-3695
Approximate (ZIP-level) locationGet directions
Mailing address
167 S Grove St Apt 108
Ypsilanti, MI 48198-5665
Registry dates
- Enumerated
- 2023-09-12
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.