Individual
MARK GERARD WURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10888 W DODGE RD, OMAHA, NE 68154-2609
(402) 551-1322
(402) 551-3454
Mailing address
10888 W DODGE RD, OMAHA, NE 68154-2609
(402) 551-1322
(402) 551-3454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
817
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47077739600
—
NE
Enumeration date
07/18/2006
Last updated
02/25/2022
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