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NPI Code Detail

MEDICARE: WANESSA WENEE SADDLER

MEDICARE: WANESSA WENEE SADDLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractorOH

General Provider Information

NPI Number : 1639042856
Entity Type Code : Individual
Provider Name (Legal Business Name) : WANESSA WENEE SADDLER
Provider Business Mailing Address
First Line : 12613 SOBIESKI AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44135-4865
Country : US
Telephone Number : 216-971-4740
Fax Number :
Provider Business Practice Location Address
First Line : 12613 SOBIESKI AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44135-4865
Country : US
Telephone Number : 216-971-4740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2025
Last Update Date : 09/24/2025

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Directions to “ WANESSA WENEE SADDLER ” Practice Location

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