Individual
INGA WIERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4486
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
004049
OH
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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