Individual
EDWARD V VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-9600
(402) 559-8228
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-9600
(402) 559-8228
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
13696
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557525
—
NE
Enumeration date
05/12/2006
Last updated
06/23/2011
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