Individual
ANTHONY J GRIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 N 96TH ST, SUITE 201, OMAHA, NE 68114-2497
(402) 330-4555
(402) 330-4626
Mailing address
909 N 96TH ST, SUITE 201, OMAHA, NE 68114-2497
(402) 330-4555
(402) 330-4626
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
20304
NE
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
20304
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025555000
—
NE
Enumeration date
05/05/2006
Last updated
07/11/2011
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