Individual
DANIEL ANDREW CHRUSCICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 S 70TH ST, LINCOLN, NE 68506-1676
(402) 484-9000
(402) 483-4223
Mailing address
PO BOX 6068, LINCOLN, NE 68506-0068
(402) 484-9000
(402) 483-4223
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24568
NE
207WX0107X
Retina Specialist (Ophthalmology) Physician
24568
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-35151
MEDICAL LICENSE
KS
05
—
10025619700
—
NE
01
—
24568
MEDICAL LICENSE
NE
01
—
P00870537
RAILROAD MEDICARE
NE
Enumeration date
04/15/2008
Last updated
11/27/2023
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