Individual
MATTHEW WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 DOROTHEA DR, PAINESVILLE, OH 44077-5235
(440) 497-0069
Mailing address
1205 DOROTHEA DR, PAINESVILLE, OH 44077-5235
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
04/29/2025
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