Individual
MARY DANKOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11111 S 84TH ST, PAPILLION, NE 68046-4122
(402) 593-3131
(402) 593-3117
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19720
NE
207R00000X
Internal Medicine Physician
MD-42551
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280594
MEDICARE PTAN
NE
Enumeration date
09/06/2006
Last updated
01/13/2017
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