Individual
JILL FRANCES PUETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7500 MERCY RD, ATTN: HOSPITAL MEDICINE, OMAHA, NE 68124-2319
(402) 398-5580
(402) 398-5589
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6255
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26758
NE
207R00000X
Internal Medicine Physician
40425
IA
208M00000X
Hospitalist Physician
Primary
26758
NE
208M00000X
Hospitalist Physician
MD-40425
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098611083
MEDICARE PTAN
NE
01
—
I87040069
MEDICARE PTAN
IA
Enumeration date
06/29/2009
Last updated
04/10/2017
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