Individual
MICHAEL A MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 VAN DORN ST STE 24, LINCOLN, NE 68506-2882
(402) 483-3400
(402) 483-3405
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 272-8911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19179
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080048104
RAILRAOD MEDICARE
—
05
—
47055301100
—
NE
Enumeration date
04/14/2006
Last updated
11/16/2018
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