Individual
DR. JANET S WIESELTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29001 CEDAR RD, SUITE 203, LYNDHURST, OH 44124-4062
(440) 684-9933
(440) 684-9971
Mailing address
29001 CEDAR RD, SUITE 203, LYNDHURST, OH 44124-4062
(440) 684-9933
(440) 684-9971
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
35.070376
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070012438
RAILROAD MEDICARE NUMBER
OH
01
—
1154487932
GROUP NPI
OH
05
—
2087352
—
OH
01
—
9186052
MEDICARE GROUP LEGACY NUM
OH
01
—
9186053
GROUP MEDICARE LEGACY NUM
OH
Enumeration date
06/18/2005
Last updated
08/02/2012
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