Individual
DR. TERRENCE J KOLBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17001 LAKESIDE HILLS PLZ, SUITE 100, OMAHA, NE 68130-4670
(402) 697-7200
(402) 697-7282
Mailing address
17001 LAKESIDE HILLS PLZ, SUITE 100, OMAHA, NE 68130-4670
(402) 697-7200
(402) 697-7282
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12579
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01502
BCBS ID
NE
05
—
0946558
—
IA
Enumeration date
01/21/2007
Last updated
06/27/2016
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