Individual
ERIC WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 S 24TH ST, #230, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5075
Mailing address
124 S 24TH ST, #230, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5075
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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