Organization
NMG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MARIE GLASER (SUPERVISOR OF HIM)
(402) 844-8020
Entity
Organization
Contact information
Practice address
301 NORTH 27TH STREET SUITE 1, NORFOLK, NE 68701
(402) 844-8020
Mailing address
301 N 27TH ST STE 1, NORFOLK, NE 68701-4457
(402) 844-8020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017
BCBS OF NE
—
Enumeration date
07/25/2017
Last updated
07/21/2022
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