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Individual

DR. JONATHAN WIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 GRESHAM DR STE 8630B, NORFOLK, VA 23507-1904
(757) 388-6115
(757) 275-9998
Mailing address
30575 BAINBRIDGE RD STE 200, SOLON, OH 44139-2275
(216) 297-9477

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10254600
NJ
207R00000X
Internal Medicine Physician
289108
NY
207R00000X
Internal Medicine Physician
31367
NE
207R00000X
Internal Medicine Physician
34310
OK
207R00000X
Internal Medicine Physician
Primary
35.123867
OH
207R00000X
Internal Medicine Physician
48001
KY
207R00000X
Internal Medicine Physician
57563
AZ
207R00000X
Internal Medicine Physician
80416
GA
207R00000X
Internal Medicine Physician
A136059
CA
207R00000X
Internal Medicine Physician
MD463604
PA
207R00000X
Internal Medicine Physician
ME129784
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101263288
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.123867
OH
207RP1001X
Pulmonary Disease Physician
35.123867
OH
208M00000X
Hospitalist Physician
35.123867
OH

Other

Enumeration date
04/03/2009
Last updated
05/16/2025
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