Individual
BENJAMIN THOMAS HAVERKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-1045
(402) 559-8953
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2011016966
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
32783
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
03/14/2021
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