Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
May 27, 2006
License(s)
36958 (NE), 4301091332 (MI), 25MA07331700 (NJ), 4301091332 (MI), 4301091332 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 1800 | Columbus, NE 68602-1800 | |
| LOCATION | 4508 38TH ST STE 210 | Columbus, NE 68601-1668 | 402-562-4835 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.