Individual provider · Type 1 NPI

Michael Todd Wietmarschen, AT

Surgical Physician Assistant · Columbus, OH

NPI number 1457434508 Active

Practice location

323 E Town St
Columbus, OH 43215-4767

Fax (614) 461-9155

Mailing address

5400 Frantz Rd, Ste 250
Dublin, OH 43016-4144

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT002804 (OH)
Surgical Physician Assistant Primary 363AS0400X50.003003 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1457434508

Michael Todd Wietmarschen, AT's National Provider Identifier is 1457434508, issued on Oct 23, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbus, OH. The record was last updated on Jan 25, 2022.