Individual provider · Type 1 NPI

Shaneta Waddy

Specialist · Ann Arbor, MI

NPI number 1316821861 Active

Practice location

2215 Fuller Rd
Ann Arbor, MI 48105-2303

Call (734) 845-3925 Map

Mailing address

16690 Brandt St
Romulus, MI 48174-3215

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316821861

Shaneta Waddy's National Provider Identifier is 1316821861, issued on Aug 5, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ann Arbor, MI. The record was last updated on Aug 5, 2025.