Individual
GARY P VAN ERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4701 NORMAL BLVD, LINCOLN, NE 68506-5563
(402) 484-5656
(402) 484-5741
Mailing address
4701 NORMAL BLVD, LINCOLN, NE 68506-5563
(402) 484-5656
(402) 484-5741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2553
SD
207Q00000X
Family Medicine Physician
Primary
26716
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120251
MEDICA
SD
01
—
4995081
BCBS
SD
05
—
5602532
—
SD
01
—
AH9141044828
PREFERRED ONE
SD
Enumeration date
11/08/2006
Last updated
04/19/2012
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