Individual
DR. MICHAEL XAVIER MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2732 SOUTH 87TH STREET, OMAHA, NE 68124
(402) 397-1117
(402) 397-1160
Mailing address
2732 SOUTH 87TH STREET, OMAHA, NE 68124
(402) 397-1117
(402) 397-1160
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11990
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055806600
—
NE
Enumeration date
11/08/2006
Last updated
07/08/2007
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