Individual
DR. MICHAEL J VIETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 MICHIGAN ST, SIDNEY, OH 45365-2401
(937) 494-5242
(937) 494-5243
Mailing address
915 MICHIGAN ST, SIDNEY, OH 45365-2401
(937) 494-5242
(937) 494-5243
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35069405V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040015058
RR MEDICARE
OH
05
—
2109024
—
OH
Enumeration date
04/17/2006
Last updated
12/28/2020
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