Individual
JUSTIN B WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 N HAMILTON RD, SUITE 120, GAHANNA, OH 43230-8703
(614) 533-5500
(614) 533-5059
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.121922
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35.121922
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001386
—
TN
01
—
4182435
BCBST
TN
01
—
7100036390
KENTUCKY MEDICAID
KY
Enumeration date
07/29/2007
Last updated
01/25/2022
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