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NPI Code Detail

MEDICARE: ANN WOERTH M.D.

MEDICARE:   ANN  WOERTH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician17241NE

General Provider Information

NPI Number : 1396193520
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN WOERTH M.D.
Provider Business Mailing Address
First Line : 10201 A ST
Second Line :
City : LINCOLN
State : NE
Zip : 68520-9462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10201 A ST
Second Line :
City : LINCOLN
State : NE
Zip : 68520-9462
Country : US
Telephone Number : 402-489-0189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2016
Last Update Date : 05/27/2016

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Directions to “ ANN WOERTH M.D.” Practice Location

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