Individual
DR. GRANT E NITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 E 14TH ST STE 100, HASTINGS, NE 68901-3240
(402) 463-2929
(402) 463-2939
Mailing address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 460-5836
(402) 460-5829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25573
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA1676019
MEDICARE PTAN
NE
Enumeration date
06/16/2005
Last updated
04/19/2019
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