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Individual

AMY JO SCHWADERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS ATC, MPAS PA-C

Contact information

Practice address
6900 A ST, LINCOLN, NE 68510-4120
(402) 436-2000
(402) 434-2691
Mailing address
6900 A ST, LINCOLN, NE 68510-4120
(402) 436-2000
(402) 434-2691

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
273
NE
363AS0400X
Surgical Physician Assistant
Primary
10001189A
IN

Other

Enumeration date
02/21/2007
Last updated
09/26/2012
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