Individual
ERIC MICHAEL WIECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S GRANT AVE FL 3, COLUMBUS, OH 43215-4701
(614) 566-9871
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 520-2495
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121496
—
OH
Enumeration date
12/01/2014
Last updated
11/06/2023
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