Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 35081989 | OH |
NPI | 1023059680 |
---|---|
Provider Name | Dr. Adam C. Weiser |
First Address | Columbus, OH 43230-1987 |
Second Address | Columbus, OH 43230-1987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 13/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0360273 | RAILROAD MEDICARE (01) | OH |
2371900 | (05) | OH |
4098655 | (02) | OH |
H76574 | (02) | OH |