Individual
MICHELLE-ANNE K IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
EMILE @ 42ND STREET, OMAHA, NE 68198-0001
(402) 559-4015
(402) 559-8715
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1607
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1607
NE
207RP1001X
Pulmonary Disease Physician
1174
SC
Other
Enumeration date
06/23/2008
Last updated
12/19/2023
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