Individual
DR. JOSEPH A WIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 DOCTOR DRIVE, MEDICAL PLAZA 2, PANAMA CITY, FL 32405-4520
(850) 767-2455
(850) 767-2790
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME143674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193771
BCBS
TN
05
—
3083053
—
TN
Enumeration date
02/07/2006
Last updated
04/30/2021
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