Organization
COUNTY OF DAKOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WENTE M.D. (MEDICAL DIRECTOR)
(402) 987-2164
Entity
Organization
Contact information
Practice address
1601 BROADWAY ST, DAKOTA CITY, NE 68731-0155
(402) 987-2164
(402) 987-2163
Mailing address
PO BOX 155, DAKOTA CITY, NE 68731-0155
(402) 987-2164
(402) 987-2163
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
201001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087026
PROVIDER NUMBER
NE
Enumeration date
10/15/2007
Last updated
02/19/2013
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