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Organization

MYSPECIALISTMD NETWORK CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN WIESEN MD (PRESIDENT, CHIEF MEDICAL OFFICER)
(631) 759-9866
Entity
Organization

Contact information

Practice address
30575 BAINBRIDGE RD STE 105, SOLON, OH 44139-2221
(216) 800-7137
Mailing address
30575 BAINBRIDGE RD STE 105, SOLON, OH 44139-2221
(216) 762-0777
(216) 232-3066

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/10/2019
Last updated
07/29/2025
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