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Individual

ADAM MICHAEL PLEAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17030 LAKESIDE HILLS PLZ, SUITE 204, OMAHA, NE 68130-2396
(402) 758-5600
(402) 758-5169
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 398-6255
(402) 829-8513

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
26955
NE
207Y00000X
Otolaryngology Physician
41280
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098684270
MEDICARE PRAN
NE
01
449670018
MEDICARE PTAN
IA
Enumeration date
06/20/2007
Last updated
02/14/2014
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