Individual
JON REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2322 E 22ND ST, SUITE 200, CLEVELAND, OH 44115-3176
(216) 363-3309
(216) 363-2768
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35048202
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0511628
—
OH
01
—
900003186
RR MEDICARE
OH
Enumeration date
10/18/2005
Last updated
03/17/2009
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