Individual
MS. MACEY ANN WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3219 CENTRAL AVE STE 102A, KEARNEY, NE 68847-2949
(308) 865-2600
Mailing address
3219 CENTRAL AVE STE 102A, KEARNEY, NE 68847-2949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3201
NE
Other
Enumeration date
06/27/2023
Last updated
02/28/2025
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