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Individual

DR. JOHN C. ELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
987400 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198
(402) 552-3676
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36080
MN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
31560
NE
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
36080
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036113303
IL
Enumeration date
05/16/2006
Last updated
12/29/2025
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