Organization
WILLIAM S MIRANDO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SKIPPON MIRANDO MD (MEDICAL DOCTOR)
(440) 998-3376
Entity
Organization
Contact information
Practice address
2885 N RIDGE RD E, ASHTABULA, OH 44004-4134
(440) 998-3376
(440) 997-5751
Mailing address
2885 N RIDGE RD E, ASHTABULA, OH 44004-4134
(440) 998-3376
(440) 997-5751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-060349M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0892780
—
OH
Enumeration date
08/07/2007
Last updated
06/29/2015
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