| Doctor Name: | MICHAEL D WADDINGTON |
| NPI Number: | 1205043486 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101016862 |
| Business Practice Address: | 800 W Jefferson St Kirksville, MO - 635011443 |
| Business Phone Number: | 6606262304 |
| Business Fax Number: | 6606262626 |
| Mailing Address: | 800 W Jefferson St, KIRKSVILLE |
| State: | MO |
| Postal Code: | 635011443 |
| Phone Number: | 6606262304 |
| Fax Number: | 6606262626 |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 07/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 5101016862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |