Individual
KATHRYN L WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
35048140
OH
208M00000X
Hospitalist Physician
35048140
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0663563
—
OH
Enumeration date
06/23/2006
Last updated
11/29/2013
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