Wedgewood Legacy Medical P.c.

NPI #1053347187 in Lincoln, Nebraska

Provider Information

NPI Number: 1053347187
Entity Type: Organization
Organization Name: Wedgewood Legacy Medical P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Jun 23, 2006
Last Updated: May 15, 2012

Practice Location

Address: 8055 O ST
Address 2: STE S-109
City: Lincoln
State: Nebraska
ZIP Code: 68510-2564
Phone: (402) 489-8821

Authorized Official

Name: DR. JAMES A. FOSNAUGH, M.D.
Title: MD
Phone: (402) 489-0334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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