NPI Provider: 1891986998
Contact Name: Mirando Skippon William
Position: Medical Doctor/Owner
Phone: (440) 998-3376
William S. Mirando, Md, Llc Information:
William S. Mirando, Md, Llc organization have npi 1891986998, taxonomy code is 174400000X with license number is 35-060349M in . This Business address located in 2422 Lake Ave, Ashtabula, OH 44004 Ohio.
Practice Location
Address: 2422 Lake Ave, Ashtabula, OH 44004
Phone: (440) 998-3376
Business Location
Address: 2422 Lake Ave, Ashtabula, OH 44004
Phone: (440) 998-3376
Fax: (440) 997-5751
Taxonomy
Taxonomy Code: 174400000X
License Number: 35-060349M
License Number of State: OH
Primary Taxonomy Switch: Y
Enumeration Date: 8/5/2007
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