Individual
DR. CHARLES MILO HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1540 NORTH BELL STREET, FREMONT, NE 68025-3537
(402) 721-7171
(402) 721-7233
Mailing address
1540 NORTH BELL STREET, FREMONT, NE 68025-3537
(402) 721-7171
(402) 721-7233
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
226
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480022397
RR MEDICARE
—
01
—
480022398
RR MEDICARE
—
05
—
91174800200
—
NE
Enumeration date
10/13/2006
Last updated
12/04/2024
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