Organization
GROSS, IWERSEN, KRATOCHVIL & KLEIN MD PC
Active
Other names
GIKK ORTHO SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A MCCARTHY MD (MD)
(402) 399-8550
Entity
Organization
Contact information
Practice address
3301 E ELKHORN DR, FREMONT, NE 68025-6239
(402) 721-0090
(402) 721-9661
Mailing address
17030 LAKESIDE HILLS PLZ, SUITE 200, OMAHA, NE 68130-2396
(402) 399-8550
(402) 399-8455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026130604
—
NE
05
—
10026130605
—
NE
Enumeration date
10/06/2015
Last updated
01/17/2017
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