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Individual

ANDREW HERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11111 S 84TH ST, DEPARTMENT OF EMERGENCY MEDICINE, PAPILLION, NE 68046-4122
(402) 593-3000
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24220
NE
207P00000X
Emergency Medicine Physician
37289
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00941
BCBS OF NEBRASKA
NE
05
100249951-00
NE
05
100251147-00
NE
01
34051
BCBS OF NEBRASKA FOR MERCY IOWA
IA
01
70157
WELLMARK BCBS
IA
01
P00444102
RRMEDICARE NUMBER FOR MIDLANDS
NE
Enumeration date
01/12/2007
Last updated
06/04/2013
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