IndividualActive
Gavin Wolfe
NPI 1114726924 · Contractor · Omaha, NE
Provider details
- NPI number
- 1114726924
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
12120 Pedersen Dr
Omaha, NE 68144-4238
Phone: (402) 320-0850
Approximate (ZIP-level) locationGet directions
Mailing address
12120 Pedersen Dr
Omaha, NE 68144-4238
Registry dates
- Enumerated
- 2025-03-12
- Last updated
- 2025-03-12
- Certified
- 2025-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.