# UNIVERSITY GENETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881632370
- **Authorized official:** AMY WAKELING (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (216) 844-7207

## Contact information

- **Practice address:** 11100 EUCLID AVE, CLEVELAND, OH 44106-1736
- **Practice address phone:** (216) 844-7207
- **Mailing address:** 5910 LANDERBROOK DR, SUITE 250, MAYFIELD HTS, OH 44124-6508
- **Mailing address phone:** (440) 684-5816
- **Mailing address fax:** (440) 449-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | NULL | Yes |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 08/22/2020