Individual
DERRICK ANTONIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-3003
(402) 552-6731
(402) 552-6730
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27807
NE
207R00000X
Internal Medicine Physician
6692
NE
207RG0100X
Gastroenterology Physician
Primary
27807
NE
Other
Enumeration date
06/05/2012
Last updated
03/31/2026
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