Individual
GRETCHEN M WIENECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 NE 10TH ST, OUPB 4300, OKLAHOMA CITY, OK 73104-5417
(405) 271-7255
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
20186
OK
208VP0000X
Pain Medicine Physician
Primary
20186
OK
Other
Enumeration date
03/11/2006
Last updated
09/11/2025
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