Individual
RUTH DEMMEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
945 WASHINGTON AVE, GRANT, NE 69140-3044
(308) 352-2122
(308) 352-2281
Mailing address
32745 ROAD 769, OGALLALA, NE 69153-4008
(308) 352-4078
(308) 352-2281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NE13057
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04122
BLUE CROSS
NE
05
—
NE13057
—
NE
Enumeration date
06/30/2005
Last updated
07/08/2007
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