Individual
DR. AMY GRACE HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2103 CORNELL RD, WRB 4-121, CLEVELAND, OH 44106-7286
(216) 368-5016
(216) 368-4825
Mailing address
2103 CORNELL RD, WRB 4-121, CLEVELAND, OH 44106-7286
(216) 368-5016
(216) 368-4825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073503
OH
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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