Male or Other

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

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