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704 N 3rd St Plainview NE 68769-2047 | |
(402) 582-4245 | |
(402) 582-3940 |
Full Name | |
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Speciality | Family Medicine |
Location | 704 N 3rd St, Plainview, Nebraska |
Authorized Official Name and Position | Jeanette Wojtalewicz (CFO) |
Authorized Official Contact | 4023434343 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 490 Plainview NE 68769-0490 Ph: (402) 582-4245 | 704 N 3rd St Plainview NE 68769-2047 Ph: (402) 582-4245 |
NPI Number | 1619240918 |
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Provider Enumeration Date | 02/16/2012 |
Last Update Date | 11/23/2015 |
Identifier | Type | State | Issuer |
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1619240918 | NPI | - | NPPES |
NA2115 | Other | NE | MEDICARE PTAN |