MEDICARE: DR. WALEED FAWZI NEMER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35-05-3122-N	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235121211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALEED FAWZI NEMER M.D.

Provider Business Mailing Address
First Line	:	908 E WATERLOO RD
Second Line	:	SUITE 1A
City	:	AKRON
State	:	OH
Zip	:	44306-3928
Country	:	US
Telephone Number	:	330-773-4500
Fax Number	:	330-773-4515

Provider Business Practice Location Address
First Line	:	908 E WATERLOO RD
Second Line	:	SUITE 1A
City	:	AKRON
State	:	OH
Zip	:	44306-3928
Country	:	US
Telephone Number	:	330-773-4500
Fax Number	:	330-773-4515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	11/13/2012

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