Individual
BEN J SUDBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13851 GUILDFORD ST, SUITE 2, WAVERLY, NE 68462-1453
(402) 786-0476
(402) 786-0479
Mailing address
PO BOX 427, WAHOO, NE 68066-0427
(402) 443-4555
(402) 443-4554
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2580
NE
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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