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Individual

WESLEY JAMES HARNISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 ALKYRE RUN STE 100, WESTERVILLE, OH 43082-6910
(614) 890-5692
(614) 890-5629
Mailing address
450 ALKYRE RUN STE 100, WESTERVILLE, OH 43082-6910
(614) 890-5692
(614) 890-5629

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35053294
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0739464
OH
01
119353
ANTHEM PROVIDER #
OH
01
180006677
RAILROAD
OH
01
4230712
ATENA PROVIDER #
OH
01
995169-0
BWC PROVIDER #
OH
01
CA8572
RR GROUP
OH
Enumeration date
06/01/2005
Last updated
10/26/2020
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