| NPI | 1457898116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BRUNNER-BUCK Owner 402-658-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 23344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 23344) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |