Individual
MARY ELLEN WEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
89 SYLVANIA DR FL 1, BEAVERCREEK, OH 45440-3282
(937) 320-2020
Mailing address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 984-5133
(513) 984-4240
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35134285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0375674
—
OH
Enumeration date
04/23/2014
Last updated
07/19/2023
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