Organization
PARK STREET MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K. BUHLKE D.O. (OWNER)
(402) 993-2206
Entity
Organization
Contact information
Practice address
505 SOUTH PARK STREET, GENOA, NE 68640
(402) 993-2206
(402) 993-2595
Mailing address
PO BOX 310, 505 SOUTH PARK STREET, GENOA, NE 68640
(402) 993-2206
(402) 993-2595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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