Organization
GROSS, IWERSEN, KRATOCHVIL & KLEIN MD PC
Active
Other names
GIKK Ortho Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C FITZGIBBONS M.D. (PRESIDENT)
(402) 399-8550
Entity
Organization
Contact information
Practice address
7710 MERCY RD, SUITE 224, OMAHA, NE 68124-2372
(402) 399-8550
(402) 399-8455
Mailing address
17030 LAKESIDE HILLS PLZ, SUITE 200, OMAHA, NE 68130-2396
(402) 399-8550
(402) 399-8455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02981
BCBS NE
NE
05
—
10026130602
—
NE
05
—
10026130603
—
NE
Enumeration date
05/31/2006
Last updated
05/25/2016
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