Individual
GEORGE STANLEY HUTFLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3440 S 50TH ST, OMAHA, NE 68106-3829
(402) 556-3000
(402) 991-7115
Mailing address
3440 S 50TH ST, OMAHA, NE 68106-3829
(402) 556-3000
(402) 991-7115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18358
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00373
BLUE CROSS BLUE SHIELD
NE
01
—
04-00021
UNITED HEALTHCARE
NE
01
—
11602
MIDLANDS CHOICE PROVIDER
NE
01
—
18358
NEBRASKA STATE LICENSE #
NE
05
—
18358
—
NE
05
—
2965301
—
IA
05
—
47084517200
—
NE
Enumeration date
01/23/2006
Last updated
03/07/2023
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