Individual
GILES S HEDDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 328-3000
Mailing address
7440 S 91ST ST, LINCOLN, NE 68526-9797
(402) 328-3000
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
17914
NE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
17914
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537142
—
IA
05
—
100126310B
—
KS
05
—
47070592300
—
NE
05
—
47070592301
—
NE
05
—
47070592302
—
NE
05
—
47070592305
—
NE
05
—
47070592306
—
NE
05
—
47070592313
—
NE
Enumeration date
10/31/2006
Last updated
03/24/2009
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