Basic Information
| Provider Information | |||||||||
| NPI: | 1831751155 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WESSLING | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | JOEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7710 MERCY RD STE 202 | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681242353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7124901133 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7710 MERCY RD STE 202 | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 68124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023986060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2019 | ||||||||
| LastUpdateDate: | 11/12/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 8537 | NE | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.