Individual
DR. ROSS EDWARD MATHIASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
981150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1150
(402) 559-6637
(402) 559-9659
Mailing address
981150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1150
(402) 559-6637
(402) 559-9659
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40647
IA
207P00000X
Emergency Medicine Physician
R-8823
IA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
28791
NE
Other
Enumeration date
05/13/2010
Last updated
09/04/2015
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