Individual
MARK S WEIDENBECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4275 STEELS POINTE, STOW, OH 44224-6841
(330) 923-0399
(330) 923-6677
Mailing address
4275 STEELS POINTE, STOW, OH 44224-6841
(330) 923-0399
(330) 923-6677
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35123288
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105058
—
OH
Enumeration date
07/09/2008
Last updated
06/15/2023
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