# EDGEWOOD FAMILY PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508829300
- **Authorized official:** MICHAEL D HUFFMAN MD (OWNER/PRESIDENT)
- **Authorized official phone:** (402) 421-6200

## Contact information

- **Practice address:** 5200 S 56TH ST, SUITE 2, LINCOLN, NE 68516-1884
- **Practice address phone:** (402) 421-6200
- **Practice address fax:** (402) 421-6070
- **Mailing address:** 5200 S 56TH ST STE 2, LINCOLN, NE 68516-1891
- **Mailing address phone:** (402) 421-6200
- **Mailing address fax:** (402) 421-6070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 12/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C50349 | RAILROAD MEDICARE | NE |