# 23RD FAMILY MED LLC

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

## Provider details

- **NPI number:** 1740573989
- **Authorized official:** MILO V ANDERSON M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (402) 721-8800

## Contact information

- **Practice address:** 350 W 23RD ST, SUITE D, FREMONT, NE 68025-2592
- **Practice address phone:** (402) 721-8800
- **Practice address fax:** (402) 753-6096
- **Mailing address:** 350 W 23RD ST, SUITE D, FREMONT, NE 68025-2592
- **Mailing address phone:** (402) 721-8800
- **Mailing address fax:** (402) 753-6096

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2011
- **Last updated:** 06/28/2011