Individual
DR. ABDELKARIM WANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10325 DEWHURST RD, ELYRIA, OH 44035-8403
(440) 366-3600
(440) 365-8826
Mailing address
1220 MOORE RD, SUITE B, AVON, OH 44011-4044
(440) 930-4446
(440) 934-0682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35066110
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128702
ANTHEM
OH
05
—
0979508
—
OH
01
—
E66110
SUMMA
OH
Enumeration date
01/25/2006
Last updated
10/25/2007
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