Individual
NICHOLAS WHITENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2128
(402) 280-4669
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 759-3413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7525
NE
Other
Enumeration date
07/13/2015
Last updated
12/22/2021
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