Organization
PREMIER DERMATOLOGY
Active
Organization
PREMIER DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET WIESELTHIER MD (OWNER)
(440) 684-9953
Entity
Organization
Contact information
Practice address
29001 CEDAR RD, SUITE 203, LYNDHURST, OH 44124-4062
(440) 684-9933
Mailing address
29001 CEDAR RD, SUITE 203, LYNDHURST, OH 44124-4062
(440) 684-9933
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
35.070376
OH
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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