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Individual

BENJAMIN M WICHERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 559-6673
Mailing address
5120 MAYBERRY ST APT 1313, OMAHA, NE 68106-1782
(402) 709-5852

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NE

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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