Individual
JOHN GAJEWSKI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
42ND AND EMILE ST, OMAHA, NE 68198-0001
(402) 552-6007
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2612
NE
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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