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Organization
PARK STREET MEDICAL CLINIC PC
Active
Organization
PARK STREET MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K. BUHLKE D.O. (OWNER)
(402) 993-2206
Entity
Organization
Contact information
Practice address
505 SOUTH PARK STREET, GENOA, NE 68640
(402) 993-2206
(402) 993-2595
Mailing address
PO BOX 310, 505 SOUTH PARK STREET, GENOA, NE 68640
(402) 993-2206
(402) 993-2595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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