Individual
GARY VANDEWEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E FRANCIS ST, SUITE #3, NORTH PLATTE, NE 69101-6796
(308) 532-6906
(308) 532-6964
Mailing address
600 E FRANCIS ST, SUITE #3, NORTH PLATTE, NE 69101-6796
(308) 532-6906
(308) 532-6964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14415
NE
Other
Enumeration date
11/09/2005
Last updated
08/27/2014
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