person
Mark Edward Waide, PAC
Medical Physician Assistant in Streetsboro, Ohio
NPI 1548244353

Mark Edward Waide is a Medical Physician Assistant based in Streetsboro, OH and is specialized in Medical. Mark Edward Waide practices in Streetsboro, OH and has the professional credentials of PAC. The NPI Number for Mark Edward Waide is 1548244353 and holds a License No. 1032163 (Ohio).

The current practice location address for Mark Edward Waide is 9150 Market Square Dr, Streetsboro, OH and can be reached out via phone at 330-626-2211 and via fax at 330-626-2294.

Location: 9150 Market Square Dr, Streetsboro, OH, 44241-4571
person
Provider Profile Details
NPI Number
1548244353
Provider Name
Mark Edward Waide
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
9150 Market Square Dr, Streetsboro, OH, 44241-4571
Phone Number
330-626-2211
Fax Number
330-626-2294
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0067558 05 OH
institution
Provider Business Practice Location Address Details
Address
9150 Market Square Dr
City
State
Zip
44241-4571
Phone Number
330-626-2211
Fax Number
330-626-2294
person
Provider Business Mailing Address Details
Address
9150 Market Square Dr
City
State
Zip
44241-4571
Phone Number
330-626-2211
Fax Number
330-626-2294
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1032163 (Connecticut)
Definition
Definition to come...
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