Dr JONATHAN WIESEN is a male medical professional, specializing in Internal Medicine. He graduated in 2009 from Albert Einstein College Of Medicine Of Yeshiva University.
COMMUNITY INTENSIVISTS
27100 CHARDON RD
RICHMOND HEIGHTS
OH
441431116
Tel: 4405425023
| Npi | 1912149006 |
| Pac Id | 1153644786 |
| Professional Enrollment Id | I20150106001254 |
| Last Name | WIESEN |
| First Name | JONATHAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | COMMUNITY INTENSIVISTS |
| Group Practice Pac Id | 8426272923 |
| Number Of Group Practice Members | 15 |
| Line 1 Street Address | 27100 CHARDON RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | RICHMOND HEIGHTS |
| State | OH |
| Zip Code | 441431116 |
| Phone Number | 4405425023 |
| Hospital Affiliation Ccn 1 | 390008 |
| Hospital Affiliation Lbn 1 | ELLWOOD CITY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 360161 |
| Hospital Affiliation Lbn 2 | ST JOSEPH WARREN HOSPITAL |
| Hospital Affiliation Ccn 3 | 360041 |
| Hospital Affiliation Lbn 3 | PARMA COMMUNITY GENERAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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