Individual
JANELLE WIESKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
400 N 48TH ST, LINCOLN, NE 68504-3419
(402) 464-1000
Mailing address
7424 S 33RD ST, LINCOLN, NE 68516-5762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1613
NE
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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