JEREMY J VANICEK

ORTHOWEST PC

Dr JEREMY J VANICEK is a male medical professional, specializing in Physician Assistant. He graduated in 2000.

Contact

ORTHOWEST PC

2725 S 144TH ST
OMAHA
NE
681445253

Tel:

JEREMY J VANICEK Information

Npi 1174537146
Pac Id 2264568666
Professional Enrollment Id I20100324000886
Last Name VANICEK
First Name JEREMY
Middle Name J
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2000
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ORTHOWEST PC
Group Practice Pac Id 8921086893
Number Of Group Practice Members 61
Line 1 Street Address 2725 S 144TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City OMAHA
State NE
Zip Code 681445253
Phone Number
Hospital Affiliation Ccn 1 280129
Hospital Affiliation Lbn 1 NEBRASKA ORTHOPAEDIC HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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