Individual
JAMIE K WASELENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4460 RED BANK RD, SUITE 200, CINCINNATI, OH 45227-2172
(513) 321-4333
(513) 232-0100
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 756-2003
(513) 232-0100
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35.090078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2757735
—
OH
05
—
3330131
—
TN
01
—
4105974
BCBS OF TN
—
05
—
64102809
—
KY
Enumeration date
07/11/2006
Last updated
10/02/2024
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