Individual
DR. DIVA VITEARE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 W GRUENTHER RD, GRETNA, NE 68028-4828
(402) 332-2772
(402) 332-5446
Mailing address
102 W GRUENTHER RD, GRETNA, NE 68028-4828
(402) 332-2772
(402) 332-5446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33607
NE
207Q00000X
Family Medicine Physician
Primary
MD-48710
IA
Other
Enumeration date
04/06/2018
Last updated
04/12/2026
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