Individual
GARY M. WERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 W 10TH AVE, COLUMBUS, OH 43210
(614) 685-4263
(614) 685-4768
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-8155
(614) 293-5443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50005417RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302271
—
OH
Enumeration date
12/05/2013
Last updated
08/23/2018
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