| NPI | 1720328081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON E WAKELEY Physician 402-206-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NE 25490) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2023-03-07 |