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Dr. Mark Edwin Weaver, MD
General Practice Physician in Westerville, Ohio
NPI 1154608180

Mark Edwin Weaver is a General Practice Physician based in Columbus, OH. Mark Edwin Weaver practices in Westerville, OH and has the professional credentials of MD. The NPI Number for Mark Edwin Weaver is 1154608180 and holds a License No. 35.050156 (Ohio).

The current practice location address for Mark Edwin Weaver is 158 Wetherby Ln, Westerville, OH and can be reached out via phone at 800-917-9085. You can also correspond with Mark Edwin Weaver through the mailing address at PO BOX 21930, COLUMBUS, OH - 43221-0930 (mailing address contact number: 800-917-9085).

Location: 158 Wetherby Ln, Westerville, OH, 43221-0930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154608180
Provider Name
Mark Edwin Weaver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
158 Wetherby Ln, Westerville, OH, 43221-0930
Phone Number
800-917-9085
Fax Number
Provider Enumeration Date
11/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
158 Wetherby Ln
City
Westerville
State
Ohio
Zip
43081-4957
Phone Number
800-917-9085
Fax Number
person
Provider Business Mailing Address Details
Address
158 Wetherby Ln
City
Westerville
State
Ohio
Zip
43081-4957
Phone Number
800-917-9085
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
35.050156 (Ohio)
Definition
Definition to come...
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