Individual
TAMARA ANN DOEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-2360
(402) 354-2440
Mailing address
3410 N 140TH ST, OMAHA, NE 68164-5400
(402) 317-6491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22925
NE
208M00000X
Hospitalist Physician
Primary
22925
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336195379
—
IA
05
—
1584979
—
IA
05
—
47068731716
—
NE
Enumeration date
05/25/2006
Last updated
12/18/2018
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