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Individual

JUSTIN R BIRGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 552-6731
(402) 552-6730
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26791
NE
207R00000X
Internal Medicine Physician
51861
MN

Other

Enumeration date
06/20/2008
Last updated
02/17/2017
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