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Individual

JOHN W MARKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1570
(402) 354-1576
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19896
NE
2084P0804X
Child & Adolescent Psychiatry Physician
19896
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025447000
NE
05
4517672
IA
05
47068731711
NE
05
47068731762
NE
05
5547672
IA
05
6517672
IA
Enumeration date
10/10/2006
Last updated
11/13/2007
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