Individual
SAMUEL PETER WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
(216) 445-5629
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
(216) 445-5629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.127474
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.127474
OH
207RP1001X
Pulmonary Disease Physician
Primary
35.127474
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563562
—
OH
Enumeration date
04/02/2014
Last updated
04/29/2021
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