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Dr. Dolf R Ichtertz, MD
Orthopedic Hand Surgery Physician in Grand Island, Nebraska
NPI 1952492845

Dolf R Ichtertz is a Orthopedic Hand Surgery Physician based in Grand Island, NE and is specialized in Hand Surgery. Dolf R Ichtertz practices in Grand Island, NE and has the professional credentials of MD. The NPI Number for Dolf R Ichtertz is 1952492845 and holds a License No. 218344310 (Nebraska).

The current practice location address for Dolf R Ichtertz is 716 N Alpha St, Grand Island, NE and can be reached out via phone at 308-389-3312 and via fax at 308-389-3390.

Location: 716 N Alpha St, Grand Island, NE, 68803-4318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952492845
Provider Name
Dolf R Ichtertz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
716 N Alpha St, Grand Island, NE, 68803-4318
Phone Number
308-389-3312
Fax Number
308-389-3390
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07250 01 NE BCBS PROVIDER ID
47082696900 05 NE
200036906 01 NE RR MEDICARE PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
716 N Alpha St
City
Grand Island
State
Nebraska
Zip
68803-4318
Phone Number
308-389-3312
Fax Number
308-389-3390
person
Provider Business Mailing Address Details
Address
716 N Alpha St
City
Grand Island
State
Nebraska
Zip
68803-4318
Phone Number
308-389-3312
Fax Number
308-389-3390
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
218344310 (Nebraska)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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