Individual
DR. ANDREW W ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 N 190TH PLZ, SUITE 2400, ELKHORN, NE 68022-3913
(402) 815-1970
(402) 815-1595
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
18386
NE
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
18386
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740390947
—
IA
05
—
1965673
—
IA
05
—
470376604-16
—
NE
05
—
95150
—
IA
Enumeration date
08/30/2006
Last updated
12/17/2013
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