Wade L. Banker MD
Diagnostic Radiology Physician in Cleveland, OH(View on Map)
Full Name
Wade L Banker MD
NPI Number
1891800082
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/20/2006
Specialties
(Taxonomies)Code
2085R0202X
2085R0204X
Primary Taxonomy
Yes
No
Licenses
State
Mississippi
Ohio
License Number
19652
35074019
Contact
Information
Purpose
Mailing
Location
Address
24701 EUCLID AVE
11100 EUCLID AVE
City
Euclid
Cleveland
State
OH
OH
Postal Code
44117-1714
44106-1716
Country
US
US
Telephone Number
(216) 844-1700
(216) 844-1700
Identifiers
Identifier
2285861
512G700003
300002000
08059068
P00393376
Identifier State
OH
MS
MS
MS
MS
Identifier Issuer
Unknown
MS MEDICARE - GROUP
MEDICARE
Unknown
RAILROAD MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/25/2013