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Individual

TAMMY O WICHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 559-4015
(402) 559-8715
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22440
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
22440
NE
207RP1001X
Pulmonary Disease Physician
22440
NE

Other

Enumeration date
09/11/2006
Last updated
02/14/2019
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