Individual
MAX N WIZNITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HTS, OH 44122-5203
(216) 286-6295
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35-043073
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028264
ANTHEM
OH
01
—
000000221332
UNISON
OH
01
—
000000526174
ANTHEM
OH
05
—
0013055270003
—
PA
01
—
0631598
BCMH
OH
05
—
0631598
—
OH
01
—
0640754
AETNA
OH
05
—
1033136015
—
MI
01
—
364144
WELLCARE
OH
01
—
731878
BUCKEYE
OH
01
—
P00445001
RAILROAD MEDICARE
OH
Enumeration date
07/16/2006
Last updated
03/04/2010
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