Organization
RICK WIECEK, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK WIECEK MD (OWNER)
(419) 355-8488
Entity
Organization
Contact information
Practice address
2281 HAYES AVE, FREMONT, OH 43420-2632
(419) 355-8488
(419) 332-8490
Mailing address
2281 HAYES AVE, FREMONT, OH 43420-2632
(419) 355-8488
(419) 332-8490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35084364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2491941
—
OH
Enumeration date
01/23/2008
Last updated
01/23/2008
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