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Individual

DR. MICHAEL A ROMANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-4360
(712) 396-7069
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25292
IA
208M00000X
Hospitalist Physician
Primary
25292
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790775666
IA
05
42068035512
NE
Enumeration date
10/24/2005
Last updated
12/13/2013
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