Individual
BRYCE A EXSTROM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
350 W 23RD ST, SUITE D, FREMONT, NE 68025-2592
(402) 721-8800
(402) 753-6096
Mailing address
350 W 23RD ST, SUITE D, FREMONT, NE 68025-2592
(402) 721-8800
(402) 753-6096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
93
NE
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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