# ANN S WIERWILLE MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821314436
- **Authorized official:** DR. ANN S WIERWILLE MD (PRESIDENT)
- **Authorized official phone:** (513) 961-7799

## Contact information

- **Practice address:** 3001 HIGHLAND AVE, CINCINNATI, OH 45219-2315
- **Practice address phone:** (513) 961-7799
- **Practice address fax:** (513) 961-1530
- **Mailing address:** 3001 HIGHLAND AVE, CINCINNATI, OH 45219-2315
- **Mailing address phone:** (513) 961-7799
- **Mailing address fax:** (513) 961-1530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 102L00000X | Psychoanalyst | 35026037 | OH | Yes |

## Other

- **Enumeration date:** 04/08/2010
- **Last updated:** 04/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | WI0485591 | MEDICARE PROVIDER NUMBER | OH |