Individual
GILBERT WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9560 N DENMAN AVE, KENESAW, NE 68956-1631
(308) 380-7329
Mailing address
9560 N DENMAN AVE, KENESAW, NE 68956-1631
(308) 380-7329
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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