Individual
SHANETA WADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-3925
Mailing address
16690 BRANDT ST, ROMULUS, MI 48174-3215
(734) 972-8882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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