Individual
MARTIN HALMES GOODENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-1045
(402) 559-1010
(402) 559-1011
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29030
NE
2085R0202X
Diagnostic Radiology Physician
6499
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29030
STATE OF NE MEDICAL LICENSE
NE
Enumeration date
06/18/2011
Last updated
05/08/2017
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