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Individual

DR. BRUCE E WAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
220 E 13TH ST, CRETE, NE 68333-2237
(402) 826-5151
(402) 826-5152
Mailing address
220 E 13TH ST, CRETE, NE 68333-2237
(402) 826-5151
(402) 826-5152

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
787
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09780
BLUE CROSS BLUE SHIELD
NE
01
44-00145
UNITED HEALTH CARE
NE
05
47068002700
NE
Enumeration date
07/21/2005
Last updated
07/08/2007
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