Individual
BRYAN W CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2725 S 144TH ST, STE 212, OMAHA, NE 68144
(402) 637-0800
(402) 637-0852
Mailing address
2725 S 144TH ST, STE 212, OMAHA, NE 68144
(402) 637-0800
(402) 637-0852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
873
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38624
BCBS OF NEBRASKA
NE
Enumeration date
07/31/2006
Last updated
07/08/2007
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