Individual
DANIEL J DETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
987400 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-0001
(402) 559-6673
(402) 559-8333
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
571
NE
363AM0700X
Medical Physician Assistant
571
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24390
MIDLAND'S CHOICE
NE
01
—
37893
BCBS
NE
Enumeration date
08/30/2006
Last updated
11/28/2016
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