Organization
STEPHEN J. KRUSZKA D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOSEPH KRUSZKA D.O. (PRESIDENT)
(402) 391-5022
Entity
Organization
Contact information
Practice address
7710 MERCY RD, SUITE 201, OMAHA, NE 68124-2346
(402) 391-5022
(402) 496-3561
Mailing address
PO BOX 241963, OMAHA, NE 68124-6963
(402) 391-5022
(402) 496-3561
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
372
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36394653201
—
NE
Enumeration date
05/15/2007
Last updated
01/13/2012
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