Individual
KAREN ANN WIECEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 AUTUMN LN, TIFFIN, OH 44883-3375
(419) 618-1800
Mailing address
2113 S STATE ROUTE 231, TIFFIN, OH 44883-4401
(419) 680-8583
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7201195
—
OH
Enumeration date
09/28/2020
Last updated
09/28/2020
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