Individual
DR. GREGORY C SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17675 WELCH PLZ, OMAHA, NE 68135-3551
(402) 354-7600
(402) 354-7605
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13151
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0938571
—
IA
05
—
1002546400
—
NE
05
—
47068731785
—
NE
05
—
47068731796
—
NE
Enumeration date
08/30/2006
Last updated
09/10/2018
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