Individual
DR. GREGORY L. WIEMKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
15294 PEARL RD, STRONGSVILLE, OH 44136-5021
(440) 238-1560
(440) 238-9091
Mailing address
16000 PEARL RD STE 105, STRONGSVILLE, OH 44136-6094
(440) 238-1560
(440) 238-9091
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2702
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0827109
—
OH
01
—
480029644
RAILROAD MEDICARE
OH
Enumeration date
02/14/2007
Last updated
05/06/2024
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