Individual
RICHARD ALLEN WIETHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 S PINE ST SUITE 310, SEYMOUR, IN 47274
(812) 522-2177
(812) 522-4069
Mailing address
1613 BELL FORD DR, SEYMOUR, IN 47274
(812) 522-2177
(812) 522-4069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01024324
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000084530
ANTHEM
IN
05
—
20000020A
—
IN
Enumeration date
12/06/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us