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Individual

MRS. JULIE L WADDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9802 NICHOLAS STREET, SUITE 305, OMAHA, NE 68114-2106
(402) 397-2300
(402) 397-2303
Mailing address
9802 NICHOLAS STREET, SUITE 305, OMAHA, NE 68114-2106
(402) 397-2300
(402) 397-2303

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23224
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00196
BCBS
NE
01
22192
MIDLANDS CHOICE
NE
Enumeration date
04/28/2006
Last updated
06/18/2024
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