Organization
WIECK MEDICAL MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLEN WIECK DO (OWNER-OPERATOR)
(405) 303-4167
Entity
Organization
Contact information
Practice address
2401 W WRANGLER BLVD, SEMINOLE, OK 74868-1917
(405) 303-4167
Mailing address
PO BOX 652, HOLDENVILLE, OK 74848-0652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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