NPI 1003146721

Premier Dermatology

Organisation Dermatopathology Physician Lyndhurst, OH

Practice location

Address: 29001 Cedar Rd Suite 203, Lyndhurst, OH 44124-4062
Phone: (440) 684-9933

Authorised official

Name: Janet Wieselthier
Title: Owner
Phone: (440) 684-9953

Registered specialties

Dermatopathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 35.070376 (OH)

Other Dermatology providers in Ohio →

Registry record

NPI: 1003146721
Entity type: Organization
NPI issued: 31 Dec 2009
Record last updated: 31 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.