Most Relevant Information
Provider Data
| NPI Number: | 1003505702 |
| Provider Name: | TIMOTHY MARK WEEKLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/08/2023 |
| Last Updated: | 05/08/2023 |
Provider Practice Location
46440 US HIGHWAY ROUTE 20
OBERLIN
OH
44074
Practice Location Phone/Fax
| Phone: | 4407746738 |
| Fax: | 4407746740 |
Provider Mailing Location
46440 US HIGHWAY ROUTE 20
OBERLIN
OH
44074
Provider Mailing Phone/Fax
| Phone: | 4407746738 |
| Fax: | 4407746740 |