| NPI | 1922268234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE V VIDETICH President 402-477-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NE NE134) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |