Organization
ANN S WIERWILLE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN S WIERWILLE MD (PRESIDENT)
(513) 961-7799
Entity
Organization
Contact information
Practice address
3001 HIGHLAND AVE, CINCINNATI, OH 45219-2315
(513) 961-7799
(513) 961-1530
Mailing address
3001 HIGHLAND AVE, CINCINNATI, OH 45219-2315
(513) 961-7799
(513) 961-1530
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
35026037
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WI0485591
MEDICARE PROVIDER NUMBER
OH
Enumeration date
04/08/2010
Last updated
04/09/2010
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