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Individual

BRIAN J. WEEKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
921 E FRANKLIN ST, KENTON, OH 43326-2020
(419) 673-0761
(419) 673-9366
Mailing address
8176 CROSSGATE CT N, DUBLIN, OH 43017-8431
(614) 889-6262
(614) 799-8056

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-00-7234-W
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000198246
BLUECROSS BLUESHIELD
OH
05
2206151
OH
Enumeration date
01/19/2006
Last updated
04/08/2009
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