Organization
WILLIAM S MIRANDO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SKIPPON MIRANDO MD (MEDICAL DOCTOR)
(440) 985-3376
Entity
Organization
Contact information
Practice address
201 N LEAVITT RD, AMHERST, OH 44001-1124
(440) 985-3376
(440) 985-3379
Mailing address
201 N LEAVITT RD, AMHERST, OH 44001-1124
(440) 985-3376
(440) 985-3379
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35060349M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197517
ANTHEM
OH
01
—
0300383
UHC
OH
05
—
0892780
—
OH
01
—
293642175022
MEDICAL MUTUAL
OH
01
—
39084
CARESOURCE
OH
01
—
4337165
AETNA
OH
Enumeration date
11/06/2006
Last updated
08/22/2020
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