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NPI Code Detail

MEDICARE: MARK S WEIDENBECHER MD

MEDICARE: MARK S WEIDENBECHER MD
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
1207Y00000XOtolaryngology Physician35123288OH

Other Identifiers

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

General Provider Information

NPI Number : 1346403490
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK S WEIDENBECHER MD
Provider Business Mailing Address
First Line : 4275 STEELS POINTE
Second Line :
City : STOW
State : OH
Zip : 44224-6841
Country : US
Telephone Number : 330-923-0399
Fax Number : 330-923-6677
Provider Business Practice Location Address
First Line : 4275 STEELS POINTE
Second Line :
City : STOW
State : OH
Zip : 44224-6841
Country : US
Telephone Number : 330-923-0399
Fax Number : 330-923-6677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2008
Last Update Date : 06/15/2023

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Directions to “ MARK S WEIDENBECHER MD” Practice Location

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