Individual
ROBERT E WIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3315 10TH ST, GERING, NE 69341-1731
(308) 633-5361
(308) 633-5365
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2839
NE
Other
Enumeration date
06/06/2007
Last updated
02/16/2016
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