Organization
WAYNE V VIDETICH DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE V VIDETICH DPM (PODIATRIST)
(402) 477-3200
Entity
Organization
Contact information
Practice address
2710 SOUTH ST, LINCOLN, NE 68502-3252
(402) 477-3200
(402) 477-3561
Mailing address
2710 SOUTH ST, LINCOLN, NE 68502-3252
(402) 477-3200
(402) 477-3561
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
NE134
NE
Other
Enumeration date
02/11/2008
Last updated
06/06/2008
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