Individual
BENJAMIN LEE WIECHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
640 S 5TH ST, EAGLE, NE 68347-1006
(402) 217-4520
Mailing address
PO BOX 351, EAGLE, NE 68347-0351
(402) 217-4520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76550
NE
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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