William S. Mirando, Md, LLC

NPI #1891986998 in Ashtabula, Ohio

Provider Information

NPI Number: 1891986998
Entity Type: Organization
Organization Name: William S. Mirando, Md, LLC
Primary Specialty: Specialist
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 2422 LAKE AVE
City: Ashtabula
State: Ohio
ZIP Code: 44004-4985
Phone: (440) 998-3376

Authorized Official

Name: DR. WILLIAM SKIPPON MIRANDO, M.D.
Title: MEDICAL DOCTOR/OWNER
Phone: (440) 998-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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