Individual
ANGELA M WEATHERWAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3555 OLENTANGY RIVER RD, SUITE 2050, COLUMBUS, OH 43214-3912
(614) 566-2450
(614) 566-1895
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50-002174
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068168
—
OH
Enumeration date
09/02/2005
Last updated
11/25/2025
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