Individual
BRENDA SUE KORTH-WURDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1108 R ST, NELIGH, NE 68756
(402) 887-4681
Mailing address
1901 SHEIDAN DR, NORFOLK, NE 68701
(402) 379-8380
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
736
NE
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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