Individual
DR. MIRIAM F WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8300 TYLER BLVD, SUITE 102, MENTOR, OH 44060-4217
(440) 266-5000
(440) 974-1686
Mailing address
5096 DOGWOOD TRL, LYNDHURST, OH 44124-2743
(440) 449-8523
(440) 974-1686
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
053552
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675845
—
OH
Enumeration date
09/27/2006
Last updated
07/08/2007
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