Organization
JMISKO MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELE SMITH (ADMINISTRATOR)
(402) 484-5144
Entity
Organization
Contact information
Practice address
5800 HIDCOTE DR STE 103, LINCOLN, NE 68516-5536
(402) 484-5144
(402) 484-5145
Mailing address
5800 HIDCOTE DR STE 103, LINCOLN, NE 68516-5536
(402) 484-5144
(402) 484-5145
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
NE
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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