Most Relevant Information
Provider Data
| NPI Number: | 1003217407 |
| Provider Name: | SHEILA WADDELL |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2014 |
| Last Updated: | 09/05/2014 |
Provider Practice Location
2824 BEGOLE ST
FLINT
MI
485043038
Practice Location Phone/Fax
| Phone: | 8102593056 |
| Fax: |
Provider Mailing Location
2824 BEGOLE ST
FLINT
MI
485043038
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |