| NPI | 1336590165 |
|---|---|
| Other Name | MARY E WIECHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.024773) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 24773) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-08-31 |