MARK J. DIERCKS

OMAHA, NE
NPI1134283567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NE  16137)
Enumeration Date2006-12-20
Last Update Date2019-03-21
Business Address
Mr. MARK J. DIERCKS M.D.
1111 NORTH 13TH STREET SUITE 207
OMAHA, NE 68102-4251
Phone number: 402-348-1996
Mailing Address
Mr. MARK J. DIERCKS M.D.
1111 NORTH 13TH STREET SUITE 207
OMAHA, NE 68102-4251
Phone number: 402-348-1996
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