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Individual

DR. STEVEN LEE WASSERBURGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1605 10TH ST, SUITE B, GERING, NE 69341-2409
(308) 436-3176
(308) 436-9105
Mailing address
1605 10TH ST, SUITE B, GERING, NE 69341-2409
(308) 436-3176
(308) 436-9105

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
789
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36782
BLUE CROSS/BLUE SHIELD
NE
05
47083709300
NE
01
789
PROFESSIONAL LICENSE NUM
NE
Enumeration date
10/19/2006
Last updated
06/18/2014
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