Individual
DR. GINA GRACE MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 Q ST, SUITE 500, LINCOLN, NE 68503-3609
(402) 328-4572
(402) 421-0946
Mailing address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 489-6555
(402) 328-3770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.095058
OH
207RC0000X
Cardiovascular Disease Physician
Primary
27190
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026072000
—
NE
05
—
10026072200
—
NE
05
—
10026072300
—
NE
05
—
10026072400
—
NE
05
—
10026072500
—
NE
05
—
10026072600
—
NE
Enumeration date
05/02/2007
Last updated
03/07/2023
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