Individual
DR. RICHARD M WIET
Active
Individual
DR. RICHARD M WIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
036119686
IL
207YX0901X
Otology & Neurotology Physician
4301087453
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400280
GROUP MEDICARE PTAN
IL
01
—
403270
GROUP MEDICARE PTAN
IL
Enumeration date
11/21/2006
Last updated
11/22/2023
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