Individual
DR. GREG A FITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S 70TH ST STE 100, LINCOLN, NE 68510
(402) 441-4760
(402) 441-4764
Mailing address
1001 S 70TH ST STE 100, LINCOLN, NE 68510-7901
(402) 441-4760
(402) 441-4764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22161
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100424120B
—
KS
01
—
1700512
UHC - SURGICAL ASSOC
NE
01
—
1700535
SHARE ADV - PROMED
NE
05
—
1714915
—
IA
05
—
207627203
—
MO
01
—
236388
MIDLANDS - SURGICAL ASSOC
NE
01
—
30348
BCBS - SURGICAL ASSOC
NE
01
—
30654
BCBS - PROMED
NE
01
—
68510A004
WPS/TRIWEST - SURGICAL
NE
01
—
P00228457
RRM - PROMED
—
01
—
P00331882
RRM
—
Enumeration date
05/24/2005
Last updated
03/15/2021
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