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Individual

PETER M MORIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
770 N COTNER BLVD, SYE 205, LINCOLN, NE 68505-2310
(402) 467-4661
(402) 467-5006
Mailing address
770 N COTNER BLVD SUITE 205, LINCOLN, NE 68505-2344
(402) 467-4661
(405) 467-5006

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18258
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00258
BCBS PROVIDER ID
NE
01
080028227
RAILROAD MC ID
NE
01
18258
NE STATE LICENSE
NE
05
47054632400
NE
Enumeration date
04/11/2006
Last updated
03/07/2023
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