Individual
DR. EDWARD M MANTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 FORTUNE DR, PAPILLION, NE 68046-3421
(402) 502-3600
(402) 502-3606
Mailing address
555 FORTUNE DR, PAPILLION, NE 68046-3421
(402) 502-3600
(402) 502-3606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20693
NE
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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