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1053383554
WADE FORNANDER
LINCOLN, NE
NPI
1053383554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 22563)
Enumeration Date
2006-02-07
Last Update Date
2021-04-21
Business Address
WADE FORNANDER M.D.
4600 VALLEY RD
LINCOLN, NE 68510-4855
Phone number: 402-483-4571
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Mailing Address
WADE FORNANDER M.D.
1401 E H ST
MC COOK, NE 69001-3432
Phone number: 308-344-4110
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