Individual
MICHAEL KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16120 W DODGE RD, OMAHA, NE 68118-2049
(402) 354-0550
(402) 354-0555
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31549
NE
207R00000X
Internal Medicine Physician
7687
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093166050
—
IA
05
—
47068731727
—
NE
Enumeration date
06/30/2016
Last updated
07/25/2019
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