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Organization

GOSNELL FAMILY MEDICINE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WENDY JO GOSNELL M.D. (PRESIDENT/OWNER)
(308) 520-2694
Entity
Organization

Contact information

Practice address
210 MCNEEL LN, NORTH PLATTE, NE 69101-6290
(308) 221-6262
(308) 221-6261
Mailing address
210 MCNEEL LN, NORTH PLATTE, NE 69101-6290
(308) 221-6262
(308) 221-6261

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21972
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026366900
NE
Enumeration date
10/16/2013
Last updated
10/20/2022
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