Organization
MERYL A SEVERSON MD
Active
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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