DR. Charles Brent Wakefield II, MD

NPI #1215151543 in Omaha, Nebraska

Provider Information

NPI Number: 1215151543
Entity Type: Individual
Name: DR. Charles Brent Wakefield II, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: MD
Enumeration Date: Apr 11, 2007
Last Updated: Apr 1, 2013

Practice Location

Address: 10707 PACIFIC ST
Address 2: SUITE 101
City: Omaha
State: Nebraska
ZIP Code: 68114-4762
Phone: (402) 397-7989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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