Provider Demographics
NPI:1871776831
Name:WEPRIN, JUSTIN R (MD)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:R
Last Name:WEPRIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:750 MT CARMEL MALL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43222-9998
Mailing Address - Country:US
Mailing Address - Phone:614-434-2400
Mailing Address - Fax:614-434-2424
Practice Address - Street 1:150 TAYLOR STATION RD
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-4440
Practice Address - Country:US
Practice Address - Phone:614-434-2400
Practice Address - Fax:614-434-2424
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2013-09-12
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Provider Licenses
StateLicense IDTaxonomies
OH35.120958207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0086601Medicaid
OH0086601Medicaid