Susan R Wiersma
MD | Pediatric Hematology-Oncology | Female
Susan R Wiersma, MD is a Cleveland, Ohio based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Susan R Wiersma is
11100 Euclid Ave, Cleveland, Ohio - 44106-1716. She can be contacted on phone at
216-844-7700 and fax number 216-286-6341.
Susan R Wiersma is a sole proprietor of her business.
NPI number (Unique professional ID) for Susan R Wiersma is
1356362776 which was assigned by NPPES on 21 Jul, 2006 and it was last updated on 01 Oct, 2008.
Susan R Wiersma license number is
35-051050 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Ohio.
Susan R Wiersma is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Susan R Wiersma basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Susan R Wiersma |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Susan R Wiersma address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11100 Euclid Ave
Cleveland, OH, 44106-1716
United States |
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| Phone Number : | 216-844-7700 |
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| Fax Number : | 216-286-6341 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356362776 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jul, 2006 |
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| Last Updated On : | 01 Oct, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan R Wiersma are as mentioned. Primary taxonomy code for Susan R Wiersma, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 35-051050 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Susan R Wiersma such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200206560A | Other | OK | OK MEDICAID |
| 000000221140 | Other | OH | UNISON |
| 2056126 | MEDICAID | OH | |
| 000000027183 | Other | OH | ANTHEM |
| 364131 | Other | OH | WELLCARE |
| 000000526169 | Other | OH | ANTHEM |
| 2093513 | Other | OH | AETNA |
| 2056126 | Other | OH | BCMH |
| 742534 | Other | OH | BUCKEYE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3605 Warrensville Center Rd
Shaker Hts, OH, 44122-5203
United States |
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| Phone Number : | 216-286-6299 |
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| Fax Number : | 216-286-6341 |
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Business Location:
Patients can refer following map for directions to
Susan R Wiersma practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.