Individual
JOHN M WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-1436
(888) 531-7444
Mailing address
PO BOX 378, GRANVILLE, OH 43023-0378
(888) 531-7444
(614) 867-9889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35060271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2271009
—
OH
01
—
P00717522
RAILROAD
—
Enumeration date
06/07/2006
Last updated
07/30/2019
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