Provider Demographics
NPI:1356426456
Name:MEASE, ELIZABETH WINGFIELD (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:WINGFIELD
Last Name:MEASE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5035 MAYFIELD RD STE 210
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2603
Mailing Address - Country:US
Mailing Address - Phone:216-397-0917
Mailing Address - Fax:216-397-7456
Practice Address - Street 1:21825 CHAGRIN BLVD
Practice Address - Street 2:SUITE 330
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5337
Practice Address - Country:US
Practice Address - Phone:216-397-0917
Practice Address - Fax:216-397-7456
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2020-10-01
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Provider Licenses
StateLicense IDTaxonomies
OH35051909207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine