Individual
DR. MIKALA MEGAN ALBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1404
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24914
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025464000
—
NE
05
—
14268731785
—
NE
05
—
1669694997
—
IA
05
—
47068731
—
NE
05
—
47068731706
—
NE
05
—
47068731742
—
NE
Enumeration date
05/02/2007
Last updated
11/20/2009
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