Individual
DR. HARRY NICHOLAS VONDRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 W 12TH ST, HASTINGS, NE 68901
(402) 462-9191
(402) 462-9192
Mailing address
1414 W 12TH ST, HASTINGS, NE 68901
(402) 462-9191
(402) 462-9192
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12212
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04241
BCBS
NE
05
—
10017210A
—
KS
05
—
10025428000
—
NE
05
—
274964
—
KS
05
—
47055104100
—
NE
Enumeration date
05/31/2005
Last updated
07/09/2007
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