Individual
NOAH CLEMENS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2616 BURT ST, OMAHA, NE 68178-0002
(402) 280-2700
Mailing address
2616 BURT ST, OMAHA, NE 68178-0002
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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