Individual
RANDOLPH WILLIAM WALDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PC
Contact information
Practice address
120 PARK AVE, HEBRON, NE 68370-2019
(402) 768-7203
(402) 768-4697
Mailing address
120 PARK AVE, HEBRON, NE 68370-2019
(402) 768-7203
(402) 768-4697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27738
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
AFFILIATED WITH THAYER MEMORIAL HOSPITAL
NE
Enumeration date
08/23/2006
Last updated
12/10/2014
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