Individual
DR. KARL FREDRIC WIENEKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36 AUDUBON RD, POLAND, OH 44514-1924
(330) 757-3650
Mailing address
36 AUDUBON RD, POLAND, OH 44514-1924
(330) 757-3650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35. 030684
OH
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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