# NOLAND WILLIAM BROEKEMIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265925853
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7467 | NE | Yes |

## Other

- **Enumeration date:** 06/08/2018
- **Last updated:** 06/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | H13204619 | DRIVER'S LICENSE | NE |