Individual
WILLIAM WALTER JURGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W DODGE RD STE 200B, OMAHA, NE 68114-3321
(402) 354-1700
(402) 354-2155
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16385
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026301600
—
NE
05
—
10026480100
—
NE
05
—
1205894987
—
IA
05
—
47068731799
—
NE
Enumeration date
05/03/2006
Last updated
12/28/2018
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