Individual
RICHARD M WIECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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