Individual
DR. THOMAS LEE VONDERFECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3563 PRAIRIEVIEW ST STE 300, GRAND ISLAND, NE 68803-4442
(308) 381-0162
(308) 389-4445
Mailing address
PO BOX 9802, GRAND ISLAND, NE 68802-9802
(308) 381-0162
(308) 389-4445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8462
NE
Other
Enumeration date
06/04/2019
Last updated
12/01/2023
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