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Contact Information

LINDA A WAKE
500 W SILVER SPRING DR STE K340
GLENDALE, WI53217-5065
 Phone: 414-961-9601
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
 

Clinical Pathology

207ZC0006X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for LINDA A WAKE · (Female)

NPI # 1942844147
Status Active
Credentials
Entity Individual
Enumeration date 10/30/2019
Last updated 10/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 46932-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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