# MIDWEST UROLOGY ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1790705622
- **Authorized official:** DR. HERMAN M GREENWALD M.D. (PRESIDENT)
- **Authorized official phone:** (402) 571-5323

## Contact information

- **Practice address:** 16909 LAKESIDE HILLS CT, SUITE 200, OMAHA, NE 68130-4664
- **Practice address phone:** (402) 571-5323
- **Practice address fax:** (402) 571-2495
- **Mailing address:** 16909 LAKESIDE HILLS CT, SUITE 200, OMAHA, NE 68130-4664
- **Mailing address phone:** (402) 571-5323
- **Mailing address fax:** (402) 571-2495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 09/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0146985 | — | IA |
| 05 | — | 0165522 | — | IA |
| 01 | — | 2804 | BLUE CROSS BLUE SHIELD | NE |