Individual
DR. CLARK W ANTONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4545 R ST, LINCOLN, NE 68503-3723
(402) 465-4545
(402) 465-3621
Mailing address
4545 R ST, LINCOLN, NE 68503-3723
(402) 465-4545
(402) 465-3621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17282
NE
207RG0100X
Gastroenterology Physician
Primary
17282
NE
Other
Enumeration date
08/25/2005
Last updated
01/27/2025
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