Organization
FAMILY PRACTICE OF GRAND ISLAND P C
Active
Other names
FAMILY PRACTICE OF GRAND ISLAND
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L HUSEN M.D. (OWNER)
(308) 381-0162
Entity
Organization
Contact information
Practice address
3563 PRAIRIEVIEW ST, STE 300, GRAND ISLAND, NE 68803-4442
(308) 381-0162
(308) 389-4445
Mailing address
PO BOX 9802, GRAND ISLAND, NE 68802-9802
(308) 381-0162
(308) 389-4445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28D0455757
CLIA
NE
05
—
=========
—
NE
Enumeration date
05/20/2006
Last updated
11/29/2023
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