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General NPI Number Information
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NPI Number | 1093752883
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Entity Type | Individual
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Provider Name | DANIEL M WIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 4307 23RD ST
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City | COLUMBUS
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State | NE
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Zip | 68601-8507
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Country | US
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Telephone | 402-563-2978
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Fax | 402-563-2976
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Provider Business Mailing Address
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Address Line | 4307 23RD ST
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City | COLUMBUS
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State | NE
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Zip | 68601-8507
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Country | US
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Telephone | 402-563-2978
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Fax | 402-563-2976
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 47338-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 23401
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License Number State | NE
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