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OMAHA, NE
NPI1679802532
Entity TypeOrganization
Authorized ContactMARK ALLEN MARTINSEN
Doctor/Owner
402-213-1544
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: NE  1560)
Enumeration Date2009-12-23
Last Update Date2009-12-23
Business Address
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9761 Q ST
OMAHA, NE 68127-3272
Phone number: 402-213-1544
Mailing Address
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PO BOX 101
MEADOW GROVE, NE 68752-0101
Phone number: 402-213-1544
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