Individual
DR. ARI JAY WIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6770 MAYFIELD RD STE 415, MAYFIELD HTS, OH 44124-2299
(440) 461-2550
(440) 461-3497
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 461-2550
(440) 461-5319
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.099505
OH
207RG0100X
Gastroenterology Physician
D72366
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440207300
—
MD
01
—
974421-01
CAREFIRST BC/BS
MD
01
—
S062-0432
CAREFIRST BC/BS - REGIONAL
MD
Enumeration date
05/13/2008
Last updated
06/27/2014
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