Amber J Widstrom, PA

NPI #1114978368 in Omaha, Nebraska

Provider Information

NPI Number: 1114978368
Entity Type: Individual
Name: Amber J Widstrom, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 12, 2006
Last Updated: Nov 6, 2008

Practice Location

Address: 988095 NEBRASKA MEDICAL CTR
City: Omaha
State: Nebraska
ZIP Code: 68198-8095
Phone: (402) 559-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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