Individual
KRISTOFER A VANDER ZWAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-0404
(402) 461-5088
Mailing address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 461-5191
(402) 461-5088
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22815
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059
BLUE CROSS BLUE SHIELD
NE
01
—
106553
BLUE CROSS BLUE SHIELD
KS
01
—
251187
MIDLANDS CHOICE
NE
01
—
68901B014
TRICARE/TRIWEST
NE
01
—
P00410877
RAILROAD MEDICARE
—
Enumeration date
05/22/2006
Last updated
03/07/2023
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