Individual
DR. BRUCE WILLIAM HENRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MUTUAL OF OMAHA PLZ, IFS BLDG 3, OMAHA, NE 68175-0001
(402) 351-5044
(402) 351-2552
Mailing address
MUTUAL OF OMAHA PLZ, IFS BLDG 3, OMAHA, NE 68175-0001
(402) 351-5044
(402) 351-2552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13082
NE
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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