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Individual

DR. MARK S BROSNIHAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-9841
Mailing address
420 W 5TH ST, STE 101, HASTINGS, NE 68901-7551
(402) 463-9841

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17929
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01037
BCBS
NE
Enumeration date
08/10/2005
Last updated
07/09/2007
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