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Madeline Grace Wade

Physician Assistant in Evansville, IN. Individual provider (NPI-1).

NPI number1609720366
StatusActive
Last updated in NPPESJul 22, 2026

Details

NPI
1609720366
Entity type
Individual (NPI-1)
Name
Madeline Grace Wade
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2026
Certification date
Jul 22, 2026
Last updated
Jul 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10005394AINYes

Practice location

120 Se 4th St
Evansville, IN 47708-1607

Phone 812-426-9355

Mailing address

515 Walnut St
Evansville, IN 47708-1621

Phone 317-902-0410

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