Individual
DAVID A WIEBE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 CENTRAL AVE, KEARNEY, NE 68847-2944
(308) 865-2512
(308) 865-2506
Mailing address
PO BOX 2168, KEARNEY, NE 68848-2168
(308) 865-2512
(308) 865-2506
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12637
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1553
BCBS
NE
01
—
46969
BCBS
KS
01
—
645540
FIRSTGUARD
KS
Enumeration date
05/23/2005
Last updated
07/08/2007
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