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Michael L Koebernick, PA-C
Surgical Physician Assistant in Lincoln, Nebraska
NPI 1053396457

Michael L Koebernick is a Surgical Physician Assistant based in Lincoln, NE and is specialized in Surgical. Michael L Koebernick practices in Lincoln, NE and has the professional credentials of PA-C. The NPI Number for Michael L Koebernick is 1053396457 and holds a License No. 937 (Nebraska).

The current practice location address for Michael L Koebernick is 575 S 70Th St, Lincoln, NE and can be reached out via phone at 402-488-3002 and via fax at 402-483-8787. You can also correspond with Michael L Koebernick through the mailing address at 2222 S 16TH STREET, LINCOLN, NE - 68502 (mailing address contact number: 402-488-3002).

Location: 575 S 70Th St, Lincoln, NE, 68502
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Provider Profile Details
NPI Number
1053396457
Provider Name
Michael L Koebernick
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
575 S 70Th St, Lincoln, NE, 68502
Phone Number
402-488-3002
Fax Number
402-483-8787
Provider Enumeration Date
12/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47061995513 05 NE
institution
Provider Business Practice Location Address Details
Address
575 S 70Th St
City
State
Zip
68510-2471
Phone Number
402-488-3002
Fax Number
402-483-8787
person
Provider Business Mailing Address Details
Address
575 S 70Th St
City
State
Zip
68510-2471
Phone Number
402-488-3002
Fax Number
402-483-8787
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
937 (Nebraska)
Definition
Definition to come...
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