Organization
COMPREHENSIVE CARDIOLOGY CONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WIETMARSCHEN (CEO)
(513) 872-5700
Entity
Organization
Contact information
Practice address
415 STRAIGHT ST, SUITE 210, CINCINNATI, OH 45219-1060
(513) 872-5700
(513) 861-6980
Mailing address
PO BOX 691635, CINCINNATI, OH 45269-1635
(513) 872-5700
(513) 861-6980
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00342
MEDICARE
KY
05
—
0262193
—
OH
01
—
3690
MEDICARE
KY
01
—
3692
MEDICARE
KY
01
—
5348
MEDICARE
KY
05
—
65940835
—
KY
01
—
CC6065
RAILROAD MEDICARE
—
01
—
CC6066
RAILROAD MEDICARE
—
Enumeration date
11/15/2007
Last updated
10/02/2008
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