Individual
DR. MICHAEL P GORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 498-6540
(402) 498-6357
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
56
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0588244
—
IA
05
—
1058251
—
IA
05
—
1588244
—
IA
05
—
1588251
—
IA
05
—
2588244
—
IA
05
—
2588251
—
IA
05
—
3588244
—
IA
05
—
3588251
—
IA
01
—
36811
BCBS ENT
NE
01
—
36824
BCBS BT
NE
05
—
4588244
—
IA
05
—
6588244
—
IA
05
—
7588244
—
IA
05
—
8588244
—
IA
05
—
9588244
—
IA
Enumeration date
01/03/2007
Last updated
11/22/2010
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