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Individual

ANDREW G SHAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2222 S 16TH ST STE 435, LINCOLN, NE 68502-3793
(402) 476-1455
(402) 476-1670
Mailing address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1455
(402) 476-1670

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27922
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
470553011-00
NE
Enumeration date
07/03/2012
Last updated
01/15/2025
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