Individual
ANTHONY A WIECHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
928 METBLISS AVE, DELPHOS, OH 45833-1067
(419) 302-8313
Mailing address
928 METBLISS AVE, DELPHOS, OH 45833-1067
(419) 302-8313
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
OH
376J00000X
Homemaker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000221697
—
OH
Enumeration date
12/26/2020
Last updated
12/26/2020
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