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Individual

DAVID G VUCHETICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 489-6555
(402) 328-3770
Mailing address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 489-6555
(402) 328-3770

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
424
NE
363AS0400X
Surgical Physician Assistant
Primary
424
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026072500
NE
05
10026072600
NE
Enumeration date
10/04/2006
Last updated
02/01/2012
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