Organization
CENTRAL OHIO GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARK WEIGAND MD (PRESIDENT)
(888) 531-7444
Entity
Organization
Contact information
Practice address
590 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-1436
(888) 531-7444
(888) 531-7444
Mailing address
236 3RD ST SW, CANTON, OH 44702-1607
(330) 754-4431
(330) 244-8839
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35-060271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2968267
—
OH
Enumeration date
02/21/2009
Last updated
06/08/2025
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