Organization
WILLIAM S. MIRANDO, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SKIPPON MIRANDO M.D. (MEDICAL DOCTOR/OWNER)
(440) 998-3376
Entity
Organization
Contact information
Practice address
2422 LAKE AVE, ASHTABULA, OH 44004-4985
(440) 998-3376
(440) 997-5751
Mailing address
2422 LAKE AVE, ASHTABULA, OH 44004-4985
(440) 998-3376
(440) 997-5751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-060349M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0892780
—
OH
Enumeration date
08/05/2007
Last updated
08/05/2007
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