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NPI Code Detail

MEDICARE: DR. CHRISTOPHER B WIETING DPM

MEDICARE:  DR. CHRISTOPHER B WIETING  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist00253KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639172406
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER B WIETING DPM
Provider Business Mailing Address
First Line : 1401 HARRODSBURG RD
Second Line : STE B295
City : LEXINGTON
State : KY
Zip : 40504-1764
Country : US
Telephone Number : 859-276-5349
Fax Number : 859-276-5340
Provider Business Practice Location Address
First Line : 1401 HARRODSBURG RD
Second Line : STE B295
City : LEXINGTON
State : KY
Zip : 40504-1764
Country : US
Telephone Number : 859-276-5349
Fax Number : 859-276-5340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/25/2012

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Directions to “ DR. CHRISTOPHER B WIETING DPM” Practice Location

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