Individual
DR. MILO VICTOR ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W 23RD ST, SUITE D, FREMONT, NE 68025-2592
(402) 721-8800
(402) 753-6096
Mailing address
350 W 23RD ST, SUITE D, FREMONT, NE 68025-2592
(402) 721-8800
(402) 753-6096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15643
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-065440900
—
NE
Enumeration date
05/11/2006
Last updated
11/17/2009
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