NPI 1013934074 · live from the CMS NPI Registry
Wayne V Videtich, DPM
Podiatrist in Lincoln, NE. National Provider Identifier 1013934074, active.
NPI record
| NPI | 1013934074 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 2710 South St, Lincoln, NE 68502 |
| Practice phone | 402-477-3200 |
| Enumerated | July 16, 2006 |
| Last updated | November 16, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | NE134 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.