Individual
DR. ADAM GENE MACDISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 398-6255
Mailing address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 398-6255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6242
NE
208M00000X
Hospitalist Physician
Primary
27368
NE
208M00000X
Hospitalist Physician
MD43076
IA
Other
Enumeration date
06/30/2010
Last updated
09/09/2019
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