Individual
TERREL KEITH TETSCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12875 DEAUVILLE DR, OMAHA, NE 68137-3242
(402) 399-1700
(402) 393-0883
Mailing address
12875 DEAUVILLE DR, OMAHA, NE 68137-3242
(402) 399-1700
(402) 393-0883
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
54249
NE
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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