Organization
WLB INTERVENTIONAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE L BANKER MD (OWNER)
(419) 794-1006
Entity
Organization
Contact information
Practice address
1500 HOLLAND RD, MAUMEE, OH 43537-1619
(419) 794-1006
(419) 794-1008
Mailing address
1500 HOLLAND RD, MAUMEE, OH 43537-1619
(419) 794-1006
(419) 794-1008
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
01/10/2014
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