Kevin Gerard Wietecha in Canton - Endocrinology, Diabetes & Metabolism
Kevin Gerard Wietecha - NPI 1669450557
Kevin Gerard Wietecha is a Endocrinology, Diabetes & Metabolism in Canton, Ohio. Kevin Gerard Wietecha practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Kevin Gerard Wietecha is 1669450557. The last update date is 2007-07-09.
Kevin Gerard Wietecha's current location address is 4634 Hills And Dales Rd Nw, Canton, Ohio. You can contact this provider via phone number 3304770255 and fax number 3304777266. The mailing address for Kevin Gerard Wietecha is 4634 Hills And Dales Rd Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Gerard Wietecha |
|---|---|
| Address | 4634 Hills And Dales Rd Nw, Canton, Ohio |
| Phone Number | 3304770255 |
| Fax Number | 3304777266 |
| Sole Proprietor | X |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1669450557 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4634 Hills And Dales Rd Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447081510 |
| Phone Number | 3304770255 |
| Fax Number | 3304777266 |
Provider's Primary Taxonomy Detail
| Speciality | Endocrinology, Diabetes & Metabolism |
|---|---|
| Taxonomy | 207Re0101X |
| Licence No | 34-00-6364W |
|
Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 247781 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kevin Gerard Wietecha by the Centers for Medicare & Medicaid Services?
The Kevin Gerard Wietecha has been issued the NPI (National Provider Identifier) 1669450557, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kevin Gerard Wietecha's facilities are situated?
The facilities of Kevin Gerard Wietecha are physically located at the following address: 4634 Hills And Dales Rd Nw, Canton, OH, 447081510.
What is Kevin Gerard Wietecha's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Gerard Wietecha is Endocrinology, Diabetes & Metabolism, and the taxonomy code that categorizes this field of expertise is 207Re0101X.
On what date did Kevin Gerard Wietecha receive its 1669450557 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Gerard Wietecha was assigned its 1669450557 on 2006-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kevin Gerard Wietecha, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Gerard Wietecha, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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