Individual
THOMAS J JURRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 552-3022
(402) 552-3266
Mailing address
13130 N 73RD PLZ, OMAHA, NE 68122-1971
(402) 552-3022
(402) 552-3266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22753
NE
207L00000X
Anesthesiology Physician
47520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07284
BCBS
NE
05
—
10025166200
—
NE
05
—
35173900
—
WI
05
—
761174900
—
MN
05
—
ENROLLED
—
IA
01
—
P00226461
RAILROAD MEDICARE
MN
Enumeration date
01/25/2006
Last updated
12/01/2009
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