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Individual

DR. FRED FEUERSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10710 FORT ST, OMAHA, NE 68134-1230
(402) 354-7500
(402) 354-7505
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20068
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578678413
IA
05
47068731734
NE
05
47068731741
NE
05
47068731749
NE
05
47068731797
NE
Enumeration date
08/20/2006
Last updated
12/20/2013
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