Individual
WADE HILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2618 S 3RD STREET PLZ, OMAHA, NE 68108-1712
(208) 201-1805
Mailing address
2618 S 3RD STREET PLZ, OMAHA, NE 68108-1712
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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