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Organization

MERYL A SEVERSON MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA BEIRIGER MBA (VP MEDICAL SERVICES)
(402) 554-1103
Entity
Organization

Contact information

Practice address
4610 DODGE ST, OMAHA, NE 68132-3234
(402) 306-8056
(402) 554-1805
Mailing address
4610 DODGE ST, OMAHA, NE 68132-3234
(402) 306-8056
(402) 554-1805

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
19357
NE
207VG0400X
Gynecology Physician
24963
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0228676
IA
05
20 50893401
KS
05
47-151703903
NE
Enumeration date
10/25/2006
Last updated
08/22/2020
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