ERWIN WIETRICK
Family Medicine
Active
Individual
NPI: 1063040475
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Family Medicine | 207Q00000X | Yes | 06262 (KY) |
Frequently Asked Questions
NPI 1063040475 is the National Provider Identifier for ERWIN WIETRICK, a Family Medicine provider located in Middletown, OH. This NPI was enumerated on March 31, 2020.
ERWIN WIETRICK practices at 6147 STATE ROUTE 122 STE 200, Middletown, OH 45005.
Quick Facts
- NPI
- 1063040475
- Type
- Individual
- Enumerated
- Mar 31, 2020
- Last Updated
- Jan 30, 2026
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MOHAMMAD KHALID, M.D.
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DEBORAH GIBSON HATTER, NP
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