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1164581450
RICHARD ALLEN WIETHOFF
SEYMOUR, IN
NPI
1164581450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IN 01024324)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- RICHARD ALLEN WIETHOFF MD
225 S PINE ST SUITE 310
SEYMOUR, IN 47274
Phone number: 812-522-2177
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Mailing Address
-- RICHARD ALLEN WIETHOFF MD
1613 BELL FORD DR
SEYMOUR, IN 47274
Phone number: 812-522-2177
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