Individual
MICHAEL RYAN VISENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
983280 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-3280
(402) 559-5510
Mailing address
983280 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-3280
(402) 559-5510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8482
NE
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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