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Individual

CHAD E BRANECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
988095 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8095
(402) 559-9800
(402) 559-9840
Mailing address
988095 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8095
(402) 559-9800
(402) 559-9840

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24055
NE
207P00000X
Emergency Medicine Physician
5025
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24055
PERMNANT STATE LICENSE
NE
01
5025
STATE LICENSE
NE
Enumeration date
01/10/2007
Last updated
07/08/2007
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