MEDICARE: WILLIAM VOSIK 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
1	207RC0000X	Cardiovascular Disease Physician	11648	NE

General Provider Information

NPI Number	:	1689657991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM VOSIK M.D.

Provider Business Mailing Address
First Line	:	3219 CENTRAL AVE
Second Line	:
City	:	KEARNEY
State	:	NE
Zip	:	68847-2949
Country	:	US
Telephone Number	:	308-865-2808
Fax Number	:

Provider Business Practice Location Address
First Line	:	3219 CENTRAL AVE
Second Line	:
City	:	KEARNEY
State	:	NE
Zip	:	68847-2949
Country	:	US
Telephone Number	:	308-865-2808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	11/03/2009

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