Individual
SAMUEL J WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6001 DODGE ST, HPER 207, OMAHA, NE 68182-1102
(402) 554-3254
Mailing address
6001 DODGE ST, HPER 207, OMAHA, NE 68182-1102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
538
NE
Other
Enumeration date
12/31/2012
Last updated
08/18/2022
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