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Individual

SUSAN M WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13315 W CENTER RD, OMAHA, NE 68144-3449
(402) 717-9400
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
22669
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01713
BCBS
NE
05
1110536
IA
01
90939
BCBS
IA
Enumeration date
07/20/2006
Last updated
12/17/2012
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