Individual
MR. WARD WILLIAM WAGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
322 E 22ND, FREMONT, NE 68025-2608
(402) 721-5433
(402) 721-5444
Mailing address
1866 GAETH AVE, FREMONT, NE 68025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10221
NE
Other
Enumeration date
10/25/2006
Last updated
07/19/2007
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