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NPI Code Detail

MEDICARE: MICHAEL JAMES WERT

MEDICARE:   MICHAEL JAMES WERT
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
1207R00000XInternal Medicine Physician35.098546OH
2207RC0200XCritical Care Medicine (Internal Medicine) Physician35.098546OH
3207RP1001XPulmonary Disease Physician35.098546OH

General Provider Information

NPI Number : 1053636308
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JAMES WERT
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-4925
Fax Number : 614-293-5503
Provider Business Practice Location Address
First Line : 520 W 10TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1328
Country : US
Telephone Number : 614-293-4925
Fax Number : 614-293-5503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2010
Last Update Date : 06/15/2026

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