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1417093279
WAYNE E PENKA
OMAHA, NE
NPI
1417093279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: NE 15319)
Enumeration Date
2007-01-29
Last Update Date
2010-06-08
Business Address
WAYNE E PENKA MD
4955 F STREET
OMAHA, NE 68117
Phone number: 402-717-2871
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Mailing Address
WAYNE E PENKA MD
PO BOX 4907
OMAHA, NE 68104
Phone number: 402-717-2871
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