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Individual

AINSLEY VIRGINIA WEISMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
400 MATTHEW ST STE 401, MARIETTA, OH 45750-1656
(740) 434-3505
(740) 568-4091
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50003877
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0102369
OH
01
P01469270
RAILROAD MEDICARE MHCPI
OH
Enumeration date
01/02/2008
Last updated
10/30/2017
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