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Individual

ALBERTO SOLACHE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2444 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4327
(308) 382-1100
(308) 385-0796
Mailing address
PO BOX 550, GRAND ISLAND, NE 68802-0550
(308) 382-1100
(308) 385-0796

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32710
NE
390200000X
Student in an Organized Health Care Education/Training Program
8070
NE

Other

Enumeration date
06/23/2017
Last updated
11/10/2023
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