Individual
KISA E WEEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 SIXTH STREET, CANTON, OH 44710
(330) 438-6333
(330) 580-6660
Mailing address
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720
(330) 433-1200
(330) 305-5047
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35068551B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019863
—
OH
Enumeration date
03/25/2006
Last updated
07/08/2007
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