Individual
MRS. JULIE MARIE WIEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3540 VILLAGE DR STE 100, LINCOLN, NE 68516-4706
(402) 420-7113
(402) 328-8314
Mailing address
3540 VILLAGE DR STE 100, LINCOLN, NE 68516-4706
(402) 420-7113
(402) 328-8314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1234
NE
Other
Enumeration date
05/11/2006
Last updated
06/18/2020
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