| Wieck Medical Management Pc | |
|
2401 W Wrangler Blvd Seminole OK 74868-1917 | |
| (405) 303-4167 | |
| Not Available |
| Full Name | Wieck Medical Management Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2401 W Wrangler Blvd, Seminole, Oklahoma |
| Authorized Official Name and Position | Robert Allen Wieck (OWNER-OPERATOR) |
| Authorized Official Contact | 4053034167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wieck Medical Management Pc Po Box 652 Holdenville OK 74848-0652 Ph: () - | Wieck Medical Management Pc 2401 W Wrangler Blvd Seminole OK 74868-1917 Ph: (405) 303-4167 |
| NPI Number | 1720145584 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720145584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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