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Individual
DR. WALTER WIELKIEWICZ
Active
Individual
DR. WALTER WIELKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35052245W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019630
ANTHEM PIN
OH
01
—
000000177605
UNISON PIN
OH
01
—
0101533
UHC PIN
OH
05
—
0596789
—
OH
01
—
080019531
MEDICARE RAILROAD
OH
01
—
0989499
GROUP MEDICAID
OH
01
—
311413469055
CARESOURCE PIN
OH
01
—
CA1586
GROUP MEDICARE RAILROAD
—
Enumeration date
12/14/2005
Last updated
02/08/2021
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