Individual
RICHARD M WIECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1479 N RIVER RD STE 120, FREMONT, OH 43420-9760
(419) 559-2814
(419) 355-8490
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35084364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2491941
—
OH
01
—
32012600600
BWC
OH
Enumeration date
10/12/2005
Last updated
03/17/2018
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