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Organization
23RD FAMILY MED LLC
Active
Organization
23RD FAMILY MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILO V ANDERSON M.D. (PHYSICIAN/OWNER)
(402) 721-8800
Entity
Organization
Contact information
Practice address
350 W 23RD ST, SUITE D, FREMONT, NE 68025-2592
(402) 721-8800
(402) 753-6096
Mailing address
350 W 23RD ST, SUITE D, FREMONT, NE 68025-2592
(402) 721-8800
(402) 753-6096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2011
Last updated
06/28/2011
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