Organization
GROSS, IWERSEN, KRATOCHVIL & KLEIN MD PC
Active
Parent organization
GROSS, IWERSEN, KRATOCHVIL & KLEIN PC
Other names
GIKK Ortho Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
GROSS, IWERSEN, KRATOCHVIL & KLEIN PC
Authorized official
DR. TIMOTHY C FITZGIBBONS MD (PRESIDENT)
(402) 399-8550
Entity
Organization
Contact information
Practice address
17030 LAKESIDE HILLS PLZ, SUITE 200, OMAHA, NE 68130-2396
(402) 399-8550
(402) 399-8455
Mailing address
17030 LAKESIDE HILLS PLZ, SUITE 200, OMAHA, NE 68130-2396
(402) 399-8550
(402) 399-8455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025800600
—
NE
Enumeration date
12/03/2008
Last updated
05/03/2016
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