Individual
DR. BLAKE WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
3813 S HAMILTON RD, GROVEPORT, OH 43125-9330
(614) 835-0400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.120834
OH
Other
Enumeration date
05/26/2009
Last updated
01/13/2025
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