Individual
DR. TIMOTHY DAN MERGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2717 N 118TH CIR, 300, OMAHA, NE 68164-9688
(402) 445-5569
(800) 289-0610
Mailing address
5704 S 167TH CIR, OMAHA, NE 68135-5361
(402) 445-5569
(800) 289-0610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18174
NE
207R00000X
Internal Medicine Physician
34443
IA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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