Individual
WILLIAM S MIRANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
2885 N RIDGE RD E, ASHTABULA, OH 44004-4134
(440) 998-3376
(440) 997-5751
Mailing address
2885 N RIDGE RD E, ASHTABULA, OH 44004-4134
(440) 998-3376
(440) 997-5751
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35-06-0349M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0892780
—
OH
Enumeration date
01/04/2006
Last updated
06/29/2015
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