Individual
DEREK SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42 ND AND EMILE, OMAHA, NE 68198-0001
(402) 559-4000
Mailing address
3724 JACKSON ST, APT 103, OMAHA, NE 68105-5101
(605) 254-5124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7661
NE
Other
Enumeration date
05/28/2016
Last updated
05/28/2016
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