Individual
GREGORY J WIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35.062377
OH
207YP0228X
Pediatric Otolaryngology Physician
Primary
35.062377
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0978205
—
OH
01
—
H138830
CGS-MEDICARE
OH
Enumeration date
05/30/2006
Last updated
11/19/2024
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