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Individual

ROBERT EMMET WEAR III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 N 103RD PLZ, SUITE 102, OMAHA, NE 68114-1114
(402) 354-0120
(402) 354-0125
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22531
NE
207RP1001X
Pulmonary Disease Physician
Primary
22531
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026480109
NE
05
1285716423
IA
Enumeration date
10/19/2006
Last updated
08/23/2016
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