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Individual

DR. GEORGE J WOLCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1455
(402) 476-1655
Mailing address
PO BOX 6937, LINCOLN, NE 68506-0937
(402) 476-2021
(402) 476-2008

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12605
NE
2084N0400X
Neurology Physician
21-2196174
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0500051
UHC
NE
01
131121787
RR MEDICARE
NE
01
1542
BCBS
NE
01
4257
MIDLANDS
NE
05
47-055858300
NE
Enumeration date
08/08/2006
Last updated
02/19/2013
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