Individual
ANGELA M OSMOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8303 DODGE ST STE 304, OMAHA, NE 68114
(402) 354-5048
(402) 354-2585
Mailing address
PO BOX 10190, VIRGINIA BEACH, VA 23450-0190
(800) 477-5240
(757) 216-1638
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
30679
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025044400
—
NE
05
—
10026485711
—
NE
05
—
1619265642
—
IA
Enumeration date
07/12/2011
Last updated
08/08/2018
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