Individual
DR. WAHIB E ISAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33100 CLEVELAND CLINIC BLVD./AVW2-2 RICHARD E. JACOBS H, AVON, OH 44011
(440) 695-4000
(440) 695-4619
Mailing address
33100 CLEVELAND CLINIC BLVD./AVW2-2 RICHARD E. JACOBS H, AVON, OH 44011
(440) 695-4000
(440) 695-4619
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
205660
LA
208800000X
Urology Physician
Primary
35.095967
OH
2088P0231X
Pediatric Urology Physician
35095967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2306251
—
LA
Enumeration date
08/15/2008
Last updated
02/21/2019
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