Individual
FREDRICK OOLA ODOO WANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MAPLEWOOD BLVD, APT #3, OMAHA, NE 68134
(402) 968-9937
Mailing address
3207 MAPLEWOOD BLVD, APT #3, OMAHA, NE 68134-5442
(402) 968-9937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36575
IA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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