MARK WAIDE, PAC
Physician Assistant - Medical
Active
Individual
NPI: 1548244353
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 2570 (OH) |
Frequently Asked Questions
NPI 1548244353 is the National Provider Identifier for MARK WAIDE, PAC, a Physician Assistant - Medical provider located in Streetsboro, OH. This NPI was enumerated on December 5, 2005.
MARK WAIDE, PAC practices at 9150 MARKET SQUARE DR, SUITE 202, Streetsboro, OH 44241.
Quick Facts
- NPI
- 1548244353
- Type
- Individual
- Enumerated
- Dec 5, 2005
- Last Updated
- Aug 30, 2012
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