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Organization
MIDWEST UROLOGY ASSOCIATES, P.C.
Active
Organization
MIDWEST UROLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN M GREENWALD M.D. (PRESIDENT)
(402) 571-5323
Entity
Organization
Contact information
Practice address
16909 LAKESIDE HILLS CT, SUITE 200, OMAHA, NE 68130-4664
(402) 571-5323
(402) 571-2495
Mailing address
16909 LAKESIDE HILLS CT, SUITE 200, OMAHA, NE 68130-4664
(402) 571-5323
(402) 571-2495
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146985
—
IA
05
—
0165522
—
IA
01
—
2804
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/21/2006
Last updated
09/08/2008
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