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Organization
JANA VAN WIE, M.D., P.C.
Active
Organization
JANA VAN WIE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA G VAN WIE M.D. (OWNER)
(308) 384-3457
Entity
Organization
Contact information
Practice address
1917 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4642
(308) 384-3457
Mailing address
1917 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4642
(308) 384-3457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16706
NE
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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