Organization
ADVANCED OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D DEWALD MD (MANAGER)
(402) 484-4475
Entity
Organization
Contact information
Practice address
7601 PIONEERS BOULEVARD, LINCOLN, NE 68506
(402) 484-4475
(402) 484-4476
Mailing address
7601 PIONEERS BOULEVARD, LINCOLN, NE 68506
(402) 484-4475
(402) 484-4476
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
09/11/2025
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