Individual
DR. MICAH WAYNE BEACHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6488
Mailing address
2702 HWS CLEVELAND BLVD, OMAHA, NE 68116-2687
(402) 614-9391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
519
NE
207R00000X
Internal Medicine Physician
5250
NE
Other
Enumeration date
04/03/2007
Last updated
10/23/2012
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