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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK EDWARD WAIDE, PAC

Active

MARK EDWARD WAIDE, PAC is a Medical Physician Assistant healthcare provider located in STREETSBORO, Ohio. NPI 1548244353 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · STREETSBORO, OH

Registration Details

NPI Number
1548244353
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2005 (20.73779316318 yrs)
Last Updated
Aug 30, 2012
Licenses
1032163 (CT)
2570 (OH)

Practice Information

Address
9150 MARKET SQUARE DR
SUITE 202
STREETSBORO, OH, 442414571
Browse OH providers · Browse ZIP 44241
Phone
3306262211
Fax
3306262294
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in STREETSBORO, OH

Name Credential NPI
CHARLES W HAVER P.A.-C 1083626956
ANTHONY DOMINIC LEFOER PA-C 1053263848
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.