Individual
GREGORY K. HUTTEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3727
(402) 354-1405
(402) 354-1599
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
475
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480100
—
NE
05
—
1992744833
—
NE
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731742
—
NE
05
—
47068731749
—
NE
Enumeration date
06/06/2006
Last updated
10/30/2018
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