Individual
WADE L BANKER
Active
Individual
WADE L BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
19652
MS
2085R0202X
Diagnostic Radiology Physician
Primary
35074019
OH
2085R0204X
Vascular & Interventional Radiology Physician
35074019
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08059068
—
MS
05
—
2285861
—
OH
01
—
300002000
MEDICARE
MS
01
—
512G700003
MS MEDICARE - GROUP
MS
01
—
P00393376
RAILROAD MEDICARE
MS
Enumeration date
08/20/2006
Last updated
09/25/2013
Update your record
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