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Individual

ANDREA G MARSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-2360
(402) 354-2440
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23151
NE
208M00000X
Hospitalist Physician
Primary
23151
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891887618
IA
05
47068731716
NE
01
92803
WELLMARK BCBSIA
IA
Enumeration date
09/29/2006
Last updated
08/02/2017
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