Individual
MICHAEL R GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2402 S 41ST ST, OMAHA, NE 68105-2906
(402) 490-6927
Mailing address
2402 S 41ST ST, OMAHA, NE 68105-2906
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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