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Individual

BRENT M PREMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 644-7556
(402) 644-7647
Mailing address
110 N 29TH ST, SUITE 201, NORFOLK, NE 68701-4424
(402) 844-8121
(402) 844-8122

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
NE22126
NE

Other

Enumeration date
02/28/2006
Last updated
09/24/2008
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