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1053396457
MICHAEL L KOEBERNICK
LINCOLN, NE
NPI
1053396457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NE 937)
Enumeration Date
2005-12-08
Last Update Date
2009-12-14
Business Address
-- MICHAEL L KOEBERNICK PA-C
575 S 70TH ST #400
LINCOLN, NE 68510-2471
Phone number: 402-488-3002
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Mailing Address
-- MICHAEL L KOEBERNICK PA-C
2222 S 16TH STREET MEDICAL TOWER B, #305
LINCOLN, NE 68502
Phone number: 402-488-3002
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