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Individual

MARJORIE S BISENIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2727 S 144TH ST, #280, OMAHA, NE 68144-5225
(402) 778-5490
(402) 778-5499
Mailing address
2727 S 144TH ST STE 280, OMAHA, NE 68144-5252
(402) 778-5490
(402) 614-1404

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
302
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10024982500
NE
05
2543405
IA
Enumeration date
06/24/2006
Last updated
05/13/2014
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