Individual
MRS. MARGARET MARY SASSE-WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
1942 US HIGHWAY 20, GORDON, NE 69343-5400
(308) 282-1599
Mailing address
1942 US HIGHWAY 20, GORDON, NE 69343-5400
(308) 282-1599
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
267969
—
2471M2300X
Mammography Radiologic Technologist
267969
—
2471S1302X
Sonography Radiologic Technologist
Primary
81596
—
2471V0105X
Vascular Sonography Radiologic Technologist
81596
—
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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