Mark Edward Waide, PAC
NPI #1548244353 in Streetsboro, Ohio
Provider Information
- NPI Number
- 1548244353
- Entity Type
- Individual
- Name
- Mark Edward Waide, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Dec 5, 2005
- Last Updated
- Aug 30, 2012
Practice Location
- Address
- 9150 MARKET SQUARE DR
- Address 2
- SUITE 202
- City
- Streetsboro
- State
- Ohio
- ZIP Code
- 44241-4571
- Phone
- (330) 626-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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